Language
English (US)
🌈💎 Student Agreement
"Physical Practice, Simple Language."
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name:
*
First Name
Emergency Contact: Phone Number
*
Please enter a valid phone number.
Have you practiced Meditation or Yoga before?
*
Yes
No
Other
Age Range
*
Under 16
17-34
35-44
45-64
65+
Goals for the Practice
*
Stress Release / Relaxation
Flexibility / Mobility / Strength Training
Overcoming Chronic Pain
Work through Fear of Movement
Self Care
Meditation
Do any of the following Health Conditions apply to you?
*
High Blood Pressure
Low Blood Pressure
Vertigo / Dizziness / Fainting
Arthritis
Diabetes
Ashtma
Depression
Detached Retina / Vision Situation
Chronic Pain
Back Pain/Problems
Knee Pain/Problems
Neck Pain/Problems
Other important circumstance
If you answered yes to any of the above Conditions, please explain more here:
I confirm that my Practice Space is free of obstructions and unsafe or hazardous materials. The Practice Space also needs to be quite enough to be able to foucs.
*
Yes
I agree to take full responsibility for my Health during the Session, including any problem areas or injuries I have. I affirm I will mention any challenges or difficulties I have with sitting still or gentle movements before starting a Session.
*
Yes
I will inform the teacher of any medical changes. Physical and Mental.
*
Yes
Read this Practice Agreement
Booking a Session is predicated on this agreement:
A) Student Waiver of Liability
I agree to participating in the Meditation or Yoga Classes or any other exercise program offered by Rainbow Crystal during which I will receive information and instruction about yoga, physical exercise and health.
B) Agreement to Sweat
I recognize that exercise requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult a physician prior to and regarding my participation in the meditation or yoga classes, health programs or workshops offered by my instructor or substitute teacher. I represent and warrant that I am physically fit and I have no medical condition which would prevent my participation in these yoga classes, health programs or workshops. If I am pregnant I understand that I participate fully at my own risk and that of my unborn child/children. In consideration of being permitted to participate in the yoga classes, health programs or workshops, I agree to assume full responsibility for any risks, injuries or programs offered by my instructor or substitute teacher. In further consideration of being permitted to participate in the yoga classes, health programs or workshops, I knowingly, voluntarily and expressly waive any claim I may have against my instructor or substitute teacher for injury or damages that I may sustain as a result of participating in these programs. I understand that from time to time during yoga classes, the instructor may physically adjust students’ form and posture. If I do not want such physical adjustments, I will so inform the instructor at each class I attend.
C) Agreement to Communicate
I also acknowledge that if I do wish to receive such adjustments, it is my responsibility to inform the instructor when an adjustment has gone as far as I desire at that time. I hereby take full and sole responsibility from any liability of loss or damage to personal property associated with meditation or yoga classes or any other events.
D) Class Etiquette
(A) By taking part in any online class, you acknowledge that classes may be physically strenuous, and you voluntarily participate in them with full knowledge that there could be a risk of personal injury. (B) You acknowledge that class schedules and frequency may change from time to time. Rainbow Crystal reserves the right to change the format and structure of the class schedule as and when appropriate.(C) When practicing from home, you accept full responsibility for your space and the health and safety precautions within this space. Please make sure you have a clear unobstructed space to practice.(D) You acknowledge that Rainbow Crystal accepts no responsibility for any potential injuries as a result of practice outside of the online class space.(E) Rainbow Crystal is not responsible for any injuries you may experience as a result of your use of any material found on this website.(F) Whilst practicing online the student is responsible for choosing and taking suitable modifications within their practice and if a student chooses to divert from the instructions of the class, then they are doing so at their own risk and discretion.(G) Whilst practicing online the student understands that with their camera on, they are visible to the teacher and other attendees who are in the online space.
E) Final Details
By booking into any Rainbow Crystal or accessing online material I hereby agree to the terms and conditions above. Upon booking any of our services you are confirming you indicate acceptance of this waiver. I have read the above release and waiver of liability and fully understand its contents. By participating I voluntarily agree to the terms and conditions stated above under my own free will.
I confirm and accept the above listed 🌈💎 Practice Agreement.
*
Yes
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