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Please SUBMIT this form before participating in online classes
Disclaimer
Yoga is for everyone!
However, when online, it is up to the you to assess whether you are ready for the class and the poses. If you suffer from specific injuries or disease it is best to consult with your physician first. Similarly, if you are pregnant, follow all recommendations of your physician.
The practice of yoga requires you, the practitioner, to gauge the safety of your practice within your personal physical limitations. It is better to build up slowly than to force. While you may feel exertion, you should also feel relaxed and able to breathe smoothly and easily.
Responsibility of the participant
Please
do not
overdo it. Listen to your body at all times.
Please
do not
stretch beyond muscle tension to pain.
Please
DO
report any unusual symptoms that you experience before, during, or after the classes.
Most importantly…relax, breathe, and enjoy the benefits of this ancient practice.
Informed Consent
By filling out the form below and using an electronic signature
, I hereby agree to the following:
1. I understand I am participating in a yoga class (in-person or online), workshop, private yoga session (therapy or otherwise), yoga teacher training, or Thai yoga bodywork session, offered by Christy Newsome of Kind Heart Yoga, LLC, during which I will receive information and instruction about yoga and health. I recognize that yoga may require some physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.
2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the above activities. I understand that the information presented is not to be construed as medical advice, and is not a replacement for medical care given by physicians or trained medical personnel.
3. In consideration of being permitted to participate, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program.
4. In further consideration of being permitted to participate in the yoga session/class/workshop/training, I knowingly, voluntarily and expressly waive any claim I may have against Christy Newsome, Kind Heart Yoga, LLC, and the class/workshop sponsor (if applicable), for any injury or damages that I may sustain as a result of participating in the program.
*
Indicates required field
Name
*
First
Last
Email
*
Please use the email address you used to sign up for the KHY Zoom Class or membership.
Electronic Signature
*
By filling out this field, you are virtually signing this document.
Date
*
Date of Signature
I will NEVER sell or give out your email or information - the opt-in below is JUST for Kind Heart Yoga information. And you can opt out at any time.
I agree to receiving marketing and promotional materials
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