Comeback Yoga Student Liability Waiver

I hereby agree to the following:

I understand that Comeback Yoga is a charity that is here to share knowledge and practice of yoga with its students. I understand my participation is entirely voluntary.
I understand that yoga is a physical activity and participation in yoga class includes, but is not limited to, participation in meditation techniques, yogic breathing techniques, and moving my body into various yoga postures.
I recognize that yoga, like any physical activity, requires physical exertion, which may be strenuous and may cause injury, even serious or disabling injury.
I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program, including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities.
I understand the practice of yoga may include physical assists or adjustments of the students by the teachers. I understand it is my responsibility to inform the teacher if I do not wish to receive physical assistance of this kind.
In consideration of being allowed to participate in yoga classes, I agree to assume full responsibility for my actions and for any injury, damages or losses I might suffer in the practice of yoga at Comeback Yoga.
I further consideration of being permitted to participate in the yoga classes, I knowingly, voluntarily, and expressly release the teacher, Comeback Yoga, and any of Comeback Yoga's employees, contractors, agents, officers, board members and other representatives from any and all liability, negligence, and all other claims arising from my participation in yoga classes. This waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns.

Which yoga class are you attending (day, time and location)?*

Name*

First NameLast Name

Email (optional)

A copy of this form will be sent to your email address, if provided.

Phone Number (optional)

Please enter a valid phone number.

If you provided an email address, would you like to receive the Comeback Yoga email newsletter? (Sent about every other month.)

YesNo

If you provided an email address, would you like to be notified about class cancellations in your area. (Please note: Our YouTube classes are only canceled if there are technical issues at the time of recording. Therefore, we cannot give advanced notice.)

YesNo

If yes, what areas would you like notifications for? (Please check all that you would like to receive)

Mailing Address (optional)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

I have read the above Student Waiver of Liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

Signature*

What gender do you identify as?

ie male, female, non-binary

Please specify your ethnicity?

ie Black, Latinx, Asian, caucasian, etc.

How are you affiliated with the military?

ie Veteran, active service, spouse, etc.

If you served in the military, were you in combat?

YesNo

Do you have a DD214?

YesNoPrefer not to say

If you do have a DD214 (copy 2), please consider uploading a copy here.

Uploading your DD214 helps us meet grant funding requirements. Your document will be kept strictly confidential and will never be shared publicly. Discharge status does not preclude anyone from participating in Comeback Yoga classes.

Comeback Yoga Student Liability Waiver

Demographic Information