Waiver for Dirt Cheap Yoga

By entering your information into the form below, you agree to the following:

  1. I am participating in the yoga classes by my own will, and I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury. I am fully aware of the risks and hazards involved.
  2. I understand that it is my responsibility to consult a physician prior to and regarding my participation in yoga classes. I represent and warrant that I am physically fit and that I have nomedical condition which would prevent my full participation in these classes.
  3. In consideration of being permitted to participate in yoga classes, I knowingly, voluntarily, and expressly waive any claim I may have against Dirt Cheap Yoga for injury or damages that I may sustain as a result of participating in the classes.
  4. I, my heirs, and/or legal representatives forever release, waive, discharge, and covenant not to sue my yoga instructor and/or Dirt Cheap Yoga for any injury or death caused by their negligence or other acts.
  5. I understand that any tuition or fees paid are non-refundable and non-transferable.
  6. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

Signed,

Name *
Name
Date *
Date
Emergency Contact
Emergency Contact
Emergency Contact Phone
Emergency Contact Phone
Why are you practicing yoga?