2026 | Yoga with Annalise / Trikona Yoga LLC Waiver & Client Intake Form

2026 | Yoga with Annalise / Trikona Yoga LLC Waiver & Client Intake Form

group class | private lesson | online | in-person
Name*

First NameLast Name
Pronouns
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth *

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
PrivateGroupOnlineIn-Person
Emergency Contact*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Relation

What is your experience with yoga? What would you like to gain through practicing yoga? Examples: balance, strength, relaxation, better sleep, trauma work, mental disorder work, philosophy etc.*
Do you have any injuries or medical conditions (high blood pressure, heart condition, surgeries, medical restrictions, etc.) that we need to be aware of?*

PRIVATE LESSON POLICY AGREEMENT

Please check each box that you understand and will comply with the following policies.
For cancellations made less than 6 hours in advance, the full fee is due.No call, no shows are charged the full fee.All private session are 60-75 minutes in length and are solely for the client stated in this waiver.Payments must be paid prior or within 24 hours of scheduled lesson.Failure to remit payment may result in cancellation of sessions.
Please type any additional information that you'd like us to be aware of...

COVID-19 PANDEMIC HEALTH POLICY AGREEMENT

The safety of our clients, teachers and students is our utmost priority. Trikona Yoga LLC requires a valid proof of vaccination card (emailed or shown at lesson) or proof of a negative Covid-19 test within 24 hours of your session. Masks required for both instructor & client regardless of vaccination status.
Additional Policy Information

Trikona Yoga LLC abides by all CDC, WHO, City of Denver and State of Colorado mandates in reference, response, action and safety measures implemented due to the COVID-19 pandemic. The health of our clients, staff and team is our number one priority and we will strongly enforce following all sanitary needs and regulations. Please view the policies below and initial/sign that you have read and understood them, prior to booking with Trikona Yoga LLC.
- Check in with your health before booking an in-person session or group class. If you are experiencing any symptoms of Covid-19 (including cough, shortness of breath, fever, or body aches), please do not attend an in-studio session.
- Clients are asked to alert a Trikona Yoga LLC staff member if they test positive for COVID-19 within 14 days of their last in-person visit or session.
- Using your own props and mat is suggested however, Trikona Yoga is able to provide sanitized mats and blocks at a $5 rental rate. Must be notified ahead of lesson that a mat rental is needed.
- All in-person class or group sessions held outside of the Trikona Yoga LLC space will be required to have PPE and sanitation products on hand. The space must be properly sanitized prior to each class or session.
- Hands-on adjustments by instructors to clients are used on a consent basis. Please select below if you are comfortable with your instructor providing hands-on adjustments. At any point in time prior or during the session you may vocalize to your instructor that you do not want hands-on adjustments.
I consent to hands on adjustmentsI do not consent to hands-on adjustments
Printed Name & Date*

WAIVER
I   First Name*   Last Name*   have volunteered to participate in a program of physical exercise under the direction of Trikona Yoga LLC, which will include, but may not be limited to, yoga postures, breathing techniques, and meditation. In consideration of Annalise Freytag or Trikona Yoga LLC, agreement to instruct, physically assist, and train me, I do here and forever release and discharge and hereby Annalise Freytag/Trikona Yoga LLC harmless from any and all claims, demands, rights of action, or causes of action, present or future, arising out of or connected with my participation in this or any exercise program including any injuries resulting therefrom.

This waiver and release of liability includes, without limitation, injuries which may occur as a result of instruction, demonstration, equipment that may malfunction or break; any slip or fall within premises; and ailments during/pre/post instruction.

Assumption of Risk
I  First Name   Last Name recognize that exercise or physical activity might be
challenging and that there could be dangers inherent in exercise for some individuals. I understand that as a result of my participation in herein programs I could suffer an injury. I recognize that an examination by a physician should be obtained prior to involvement in any exercise program.

If I,   First Name   Last Name   have chosen not to obtain a physician’s permission prior to beginning this exercise program with Annalise Freytag/Trikona Yoga LLC, I hereby agree that I am doing so at my own risk. In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary.

I ACKNOWLEDGE THAT I HAVE THOROUGHLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND THAT IT IS A RELEASE OF LIABILITY. BY SIGNING THIS DOCUMENT, I AM WAIVING ANY RIGHT I OR MY SUCCESSORS MIGHT HAVE TO BRING A LEGAL ACTION OR ASSERT A CLAIM AGAINST ANNALISE FREYTAG/TRIKONA YOGA LLC.
Signature*

Clear
Printed Name & Date*
Should be Empty:

2026 | Yoga with Annalise / Trikona Yoga LLC Waiver & Client Intake Form

PRIVATE LESSON POLICY AGREEMENT

COVID-19 PANDEMIC HEALTH POLICY AGREEMENT

Additional Policy Information

WAIVER