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  • Illuminate Life Yoga: Private Session

    Thank you for your interest in working with me. This form gives me insight into the kind of support you are looking for on your yoga and wellness journey. The details are invaluable to your sessions and may influence the tools we implement for whole body healing. Your time and vulnerability in completing this form is seen and appreciated.
  • Waiver and consent:

    I understand that the instruction of yoga is provided for the purpose of stress reduction in the form of breath work, relief of muscular tension/weakness through movement, and to support healing the connection between mind, body and spirit, through dialogue and exploration of the teachings of yoga. I further understand that yoga should not be construed as a substitute for medical examination, diagnosis, or treatment and that I should see a physician, or other qualified medical specialist for mental or physical ailments that I am aware of.


    I understand that yoga teachers and yoga therapists are not qualified to perform skeletal adjustments, diagnose and/or prescribe, and that nothing said in the course of the session should be construed as such. Because the physical practice of some yoga postures is contraindicated under certain conditions, I affirm that I have stated all my known medical conditions and answered all questions honestly. I agree to keep the teacher/therapist updated as to any changes in my medical profile and understand that there shall be no liability on the therapist’s part should I forget to do so.

     

    In consideration of the risk of injury while participating in yoga (the "Activity"), and as consideration for the right to participate in the Activity, I hereby, for myself, knowingly and voluntarily enter into this waiver and release of liability and hereby waive any and all rights, claims or causes of action of any kind whatsoever arising out of my participation in the Activity, and do hereby release and forever discharge Illuminate Life Yoga LLC, their affiliates, managers, members, agents, attorneys, staff, volunteers, representatives, successors and assigns, for any physical or psychological injury that I may suffer as a direct result of my participation in the aforementioned Activity.

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  • I will contact you within 1-2 business days of receiving your completed form for a complimentary phone consultation. This consultation is for additional questions prompted by the form above as well as pricing and scheduling. Illuminate Life Yoga understands that financial barriers exist and believes that wellness should not be compromised due to this. Please communicate any concerns you may have above.

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