THE YOGA SCHOOL OF MILFORD Agreement of Release and Waiver of Liability How did you hear about us?__________________________________________ Today’s Date:_____________________________________________________ Have you attended a yoga class before?_________________________________ If Yes, Where?____________________________________________________ Name___________________________________________________________ Address__________________________________________________________ City.State.Zip:_____________________________________________________ Contact Phone Number______________________________________________ E-mail Address( PRINT ONLY)_________________________________________ Which Class_________________________________________________________ Release I am aware that The Yoga School of Milford provides experiential yoga classes. I recognize that these yoga classes may, at times, be strenuous. By my participation in any of these yoga classes and workshops, I present to you that I am physically fit. I agree to take full responsibility for not exceeding my limits and for any injury I might suffer while doing any of the poses. It is my responsibility to ascertain that there is no medical reason to prevent my participation. I assume full risk for any injuries, which I may incur and waive any claim that I might have at any time for injury of any sort against The Yoga School of Milford, and the respective instructors, or any person or entity in any way involved therewith. Private Sessions: Unless a 24 hr. notice is given to cancel a session, you will be charged for the session. I have carefully read this release and fully understand and agree to the above. Signature___________________________ Date__________________________ If under 18 years of age: As legal guardian of _________________, we consent to the above conditions. Please Note: You will be receiving hands on adjustments during the class. If you do not want any adjustments please notify the teacher before the class. |