Registration and waiver Form For Zoom Yoga

Zoom Yoga, Self Massage & Meditation with Natalie McGreal

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Emergency Contact *

Phone Number *

Are you currently experiencing any of the following?

Disclaimer (Please Read Carefully)

If at any time during the session, you feel discomfort or strain, gently come out of the posture.

You may rest at any time during the class.

It is Important that you listen to your body and respect its limits on any given day.

I, the undersigned, understand that Yoga, Self Massage and Meditation are not a substitute for Medical Attention, Examination, Diagnosis or Treatment. I should consult ‘My Doctor’ Prior to beginning any program, including Yoga for my overall wellbeing.

I recognise that it is my responsibility to notify my ‘Instructor’ of any serious illness or injury before the Class or Session. I will not perform any postures to the extent of strain or pain.

I accept that neither the ‘Instructor’, nor the ‘Hosting Facility’ is Liable for any Injury, or Damages, to person or property, resulting from participating in these sessions.

Signature

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Date

I agree to all of the above and that i have been open and honest about my health

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