Bend: Waiver Form
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Name *
Phone Number *
Email *
Emergency Contact *
Emergency Contact Phone Number *
Do you have any injuries or limitations? (please write n/a if you have no injuries or limitations) *
If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at anytime during the class. It is important in yoga that you listen to your body and respect its limits on any given day.

I, the undersigned, understand that yoga is not a substitute for medical attention, examination, diagnosis or treatment. I should consult a physician prior to beginning any activity program, including yoga. I recognise that it is my responsibility to inform my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the paint of pain or strain.

I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages to person or property, resulting from taking of the class. 
Signed (printed name) *
Date
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