YOGA TEACHER LIABILITY
STUDENT WAIVER AGREEMENT
I, _______________________________(print name) understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction, physical education, and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to BREATHE smoothly. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions and/or pregnancy so let your instructor know if any of these exist. It is strongly suggested to check with your physician first before you start any fitness or health program or class.
I affirm that I alone am responsible to decide whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against the yoga instructor, Carolyn Pedersen-Howard, RYT-200.
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SIGNATURE OF STUDENT, PARENT, OR GUARDIAN DATE
STUDENT INFORMATION:
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PHONE_____________________________________BIRTHDATE______________________
ADDRESS: _________________________________________________________________
EMERGENCY CONTACT & PHONE:
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