I hereby confirm that the information above is accurate to the best of my ability and I will notify the instructor of any changes to the above.

I  have completed the yoga4all health questionnaire and am aware that exercise and physical activity involves a risk of injury.I have disclosed all information relevant to the practice of yoga during my pregnancy. I am voluntarily participating in these activities with the knowledge of the potential dangers involved.
I confirm that I will participate in activities with/without the approval of my doctor and do hereby assume all responsibility for the consequences of my participation. I will also inform my yoga teacher of any changes to my medical condition that may have occurred, including injuries prior to each class.

I declare myself physically sound and suffering from no condition, impairment, disease or illness that would prevent me from participating in physical activity.  I assume and accept any and all risk of injury.