Pregnancy Yoga & Birthing Ball Class Registration Form
Name
First Name
Last Name
Telephone Number
Email
example@example.com
Due Date
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Month
-
Day
Year
Date
How many pregnancies have you had?
Have there been any complications in previous current pregnancy?
Have you done yoga before? If so, whenwhere?
Why are you looking to join this class? e.g. for what benefit?
Do you have any physical or mental health conditions? Includes pregnancy and non-pregnancy related conditions.
Terms & Conditions
Cancelled Venue Classes: If a class is cancelled the class will be rearranged for another date. If this is not possible, any fee already paid for that class will be refunded. Missed Venue Classes: Classes are payable in advance and if a participant misses a class on which they are booked, payment for that class is lost. It is at the instructors discretion if they offer an alternative class but fees will not be refunded. Safety: All participants take part in classes at their own risk. If a position or asana is too hard or if it hurts, participants should stop. They can rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day. By signing this form participants understand that yoga is not a substitute for medical attention, examination, diagnosis or treatment. In the case where there is injury, sickness or anything else that may be affected by activities in classes the participant has consulted with physician to ensure suitability for the class. It is the participant's responsibility to notify the instructor of any serious illness or injury before every class. The participant knowingly, voluntarily and expressly waive any claim against Jill Ward, Bump to Baby Yoga and the owner of the Premises (if relevant) for injury or damages that are sustained as a result of participating in the yoga class. The participant, heirs or legal representatives irrevocably covenant not to sue and forever release, waive, and discharge any other claims of any kind whatsoever against Jill Ward, Bump to Baby Yoga or the owner of the Premises (if relevant) for any personal injury, property loss or damage, or wrongful death, whether caused by negligence or otherwise. The participant accepts that neither the instructor, nor the hosting facility is liable for any injury, or any damages, to person or property, resulting from the taking of the class. Whilst we take all reasonable steps to make the classes safe, neither the instructor or Bump to Baby Yoga can accept any liability for any injury or damage suffered by any participant or any other person in a class. It is the participant's responsibility to seek appropriate medical approval regarding any pre-existing condition of a participant and to disclose any such condition to us before booking. Neither the instructor or Bump to Baby Yoga accept any liability arising from the medical condition of any participant. Liability: The Bump to Baby Yoga instructors liability in all circumstances under the contract/booking shall be limited to the fees that you have paid in the 6 months prior to your claim being served on the teacher. Nothing in these terms shall be deemed to limit the liability of any person for death or personal injury caused by negligence. Photography and Videos: Photographs and videos may be taken of participants during classes. If you do not wish us to photograph or video you please notify us in writing. These images may be used for marketing purposes and for general promotional purposes. Venue Rules: Participants will follow all rules, policies and procedures of the venue and will comply with any reasonable requests of the venue and the organisers. General: In Venue classes teachers will from time to time need to use physical contact when working with the participants and you accept and acknowledge this. If a participant or any other attendee is unduly disrupting a class, we reserve the right to require him or her to leave the class. No fees will be refunded. Governing Law: These terms and conditions shall be governed by English law and any dispute arising from these terms and conditions shall be subject to the exclusive jurisdiction of the English court. I release Bump to Baby Yoga teachers and Bump to Baby Yoga from liability in case of accident or injury and any possible consequences during activities related to Bump to Baby Yoga classes, whether in venue or online, so long as normal safety procedures have been taken and waive any claim that I may have in relation to the same. By submission of this form, the participant agrees to the terms and conditions detailed above.
Name
First Name
Last Name
Date
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Month
-
Day
Year
Date
Submit
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