Name

First Name

Last Name

Are you familiar with Restorative Yoga?

Do you have any injuries or need for mobility modification?

What would you like from this class? Goals? Interests?

All exercise programs involve a risk of injury. By choosing to participate in yoga classes, you voluntarily assume a certain risk of injury. Awareness is fundamental to the practice of Yoga. By attending these classes, I affirm that I am solely responsible for my health and well-being, as well as my decision to practice yoga, a program of physical exercise. I agree to inform my yoga instructor of any activities or movements, which I feel could cause injury to myself. I understand that yoga is not recommended and is not safe under certain medical conditions. I do not have any physical conditions or disability that would limit my participation or preclude an exercise program. I hereby release and forever discharge Root + Rest LLC from any liability whatsoever out of or in connection with my participation in or attendance at any class or activity whenever conducted and by who ever conducted and will further indemnify and hold harmless the foregoing parties from any loss, cost, damage or expense (including attorney’s fees and cost of litigation) that they may incur as a result of my attendance or participation of any class or activity. I agree to listen to my body and monitor myself during every class session.

Checkbox

I Agree

I Disagree