Yoga Waiver and Release Form


Birth Date: *




Emergency Contact Name:

Emergency Contact Phone Number:

Have you ever done yoga before?

How physically active are you?

Please list any medical conditions that may impact your health while participating in yoga (such as asthma or a heart condition):

I understand that yoga includes physical movements as well as a chance for relaxation, stress education, and relief of muscle tension. As is the case with any physical activity, there is risk of injury that cannot be completely eliminated. If I experience any pain or discomfort, I agree to discontinue the activity and ask for support from my instructor at YOUR STUDIO NAME. I assume all responsibility for any and all damages which may occur during participation.

Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. Yoga is not recommended and is not safe for people with specific medical conditions. Getting clearance from a physician is recommended before starting any new exercise regime. I affirm that I have either gotten permission from a physician or have chosen to not seek out clearance for participating in a yoga class. In addition, I will make sure the instructor at YOUR STUDIO NAME knows of any medical conditions or physical limitations before I begin the class. I also affirm that I am responsible for my decision to practice yoga and that participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against YOUR STUDIO NAME and its instructors.

I have read and fully understand agree to the above terms of this Liability Waiver Agreement. I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of liabililty to the greatest extent allowed by law in the State of: YOUR STATE HERE.



Privacy & Cookies

This site uses cookies. By continuing to use this website, you agree to their use. To find out more, including how to control cookies, see here Cookie Policy

Accept Decline