Virtual "Yoga with Bindu" Waiver Form
STUDENT LIABILITY WAIVER AGREEMENT


 I  understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension.

Participation in yoga class includes, but is not limited to, participation in meditation techniques, yogic breathing techniques, and performing various yoga postures. Yoga postures, or asanas, are designed to exercise every part of the body―stretching and toning the muscles and joints, the spine and the entire skeletal system. They also work on the internal organs, glands and nerves. Yoga incorporates sustained stretching to strengthen muscles and increase flexibility. Yoga is an individual experience.

As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. My signature acknowledges I understand that in yoga class I will progress at my own pace. If I experience any pain or discomfort, I will listen to my body and adjust my posture appropriately. I will continue to breathe smoothly. If at any point I feel overexertion or fatigue, I will respect my body’s limitations and I will rest before continuing yoga practice.

 Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. 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 Bindu Gupta.

By signing my name below, I acknowledge that participation in yoga classes(in-person/online) exposes me to a possible risk of personal injury. I am fully aware of this risk and hereby release Bindu Gupta from any and all liability, negligence or other claims arising from or in any way connected with my participation in yoga class.

 My signature further acknowledges that I shall not now or at any time in the future bring any legal action against Bindu Gupta and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. My signature verifies that I am physically fit to participate in yoga classes and a licensed medical doctor has verified my physical condition for participation in this type of class.

If I am pregnant or become pregnant or postnatal, my signature verifies that I am participating in yoga classes with my doctor’s full approval. I realize that I am participating in yoga classes at my own risk.

The class is recorded or photographed and may be used for promotion, I am OK with it.

 My electronic signature/printed name is binding to this liability waiver from this day forth.

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1) Participants Full First Name (No initials) *
2) Full Last Name *
3) Phone Number *
4) Medical conditions, if any? *
5)  If Yes for the medical conditions: please mention it in detail below or write NA. *
6) The virtual Yoga classes are on Saturdays from 9 to 10 am every week(Fill out just Once) *
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7) The Zoom link is emailed by the library before the class. If you have any questions about registrations, Please Contact: Michael Zeller  at 508-841-8531 or email him at  mzeller@cwmars.org.                                                                   If you have any questions about Yoga, please contact Bindu Gupta at doyogawithbindu@gmail.com.Thank you.
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8) To leave us a review @https://g.page/r/CXLprCt2QDszEB0/review, if you attended any of my Yoga classes. Thanks. *
A copy of your responses will be emailed to the address you provided.
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