New Student Paperwork
This paperwork is required for all new clients/ students to Rachel Ishiguro Yoga. If you have taken a class with Rachel in a studio environment only, you will need to fill out this paperwork. Students who have not filled out this paperwork will not be admitted to classes, private sessions, or functional assessments.
Full name (First and Last)
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Email
example@example.com
Email preferences
Send me updates and tips by email.
Just e-mail me about my purchases and registered classes.
Phone number (optional - will use only to contact you in the unlikely event of technical difficulties or other last-minute class changes)
Student History
Please fill out as much information as you are comfortable with in order to help me better guide you. The information you provide will only be seen by Rachel Ishiguro and will not be shared with anyone. If you prefer to have a conversation regarding these topics, please contact rachelishiguroyoga@gmail.com or call (619) 838-7206.
Have you practiced yoga before?
Yes
No
If you have some yoga experience, for how long/ when have you practiced?
Do you have any injuries or health conditions (past or present) that might affect your yoga practice? Please describe below.
Do you currently have any known limitations on your physical activity that you have not included above?
Waiver and Release of Liability
Participation in yoga classes and private yoga sessions includes, but is not limited to, participation in meditation techniques, yogic breathing techniques, and performing various yoga postures. In any physical activity, risk of serious physical injury is possible. Yoga is no substitute for medical diagnosis and treatment. Yoga practice and/or specific poses are not recommended for individuals with certain conditions. It is recommended that students consult with a physician prior to commencing any exercise program.By submitting the form below, I acknowledge that I am choosing to participate in yoga classes or private sessions taught by Rachel Ishiguro. I understand that yoga classes can be physically intensive, and I am fully aware of the physical risks involved with strenuous exercise. I understand it is my personal responsibility to consult with my doctor regarding my participation. To my knowledge, I have no medical condition which would prevent me from taking part in yoga classes, and I agree to assume full responsibility for any risks, injuries, losses or damages, known or unknown, which I may incur as a result of, or in any way connected with, my participation in these classes.In further consideration of being permitted to participate in the yoga class or private session, I knowingly, voluntarily and expressly waive any claim I may have against Rachel Ishiguro for injury or damages that I may sustain as a result of participating in the program, regardless of whether they are allegedly contributed to or caused by negligence on the part of the releasee.
I have read the above release and waiver of liability and understand its contents. I voluntarily agree to the terms and conditions stated above.
*
Yes.
Signature
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Submit
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