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Authentic Soul Yoga

Family Yoga

Liability Waver Form




General Information:

Multi-line address

 I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages which may incur through participation. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not a form of psychological therapy though it may help support healthy coping mechanisms. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Authentic Soul Yoga and its Instructors.

CHILD WAIVER (to be signed by the guardian or adult parent)

Please reiterate the following to your child: Yoga poses/postures should never hurt or strain our body.  If It hurts or is too hard, you can stop! You may rest at any time during this class.  It is very important that in yoga you listen to your body and do not push it past its limits.  We want to stretch, never strain.

I, __________________the parent/guardian, understand that yoga is not a substitute for attention, examination, diagnosis, or treatment.  In the case where my child may have an injury, sickness, or anything else that may be affected by physical activity, I have consulted with a physician to ensure my child can take yoga classes.  I recognize that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class.

  _________ Authentic Soul Yoga may take photos or videos during class and activities in which the photos or videos might be used on social media sites or our website for promotion and marketing avenues.  Authentic Soul Yoga may use these photos or videos on the following but not limited to Facebook, Instagram, Nextdoor, and LinkedIn.  At NO point will Authentic Soul Yoga use you or your child’s name in posts or on the website.

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