Informed Consent - Agreement of Release and Waiver of Liability
Any YOGA Programs such as – YIC, PPH, Back pain, knee & hip pain etc

YOGA Training PROGRAM:  Such as sVYASA, Baba Ramdev, ……
PLACE: ZOOM – Laxmi Niwas 169 Daniel Plummer Road, Goffstown NH 03045

Date:  Starting January 2022 and ANY SUBSEQUENT SESSIONS....

I, the undersigned, fully understand and appreciate the risk of participation in the Program and knowingly accept them as my own responsibilities.  I understand that YOGA based techniques offered by SVYASA or any other programs during this training; I am undertaking this program of my own FREE WILL. Inconsideration of being permitted to participate in the Yoga classes, health programs and workshops of Yoga / Yoga Therapy Training. I, the undersigned, hereby for myself, my heirs, executors, administrators and assignees, waive and release any and all rights, claims for damages I may have against any involved (non-profit, tax-exempt) Organizations such as NATARAJA YOGA Center, SATSANG Association Inc.’ Shishu Bharati Or any affiliated organizations, any Teachers & other supporting individuals, for that matter any sponsors of this program, individually or separately for any personal injuries or property damage of any and whatever type, nature and amount sustained or claim to be sustained by me as a result of my entrance and participation in the YOGA program.

Furthermore, I, the undersigned, will never institute any action or suit at law or in equity against covenant, nor institute, prosecute or in any way aid in the institution or prosecution or any claim, demand, action or cause of action for damage, costs, loss of services, expenses, or compensation for or on account of any damage, loss or injury either or personal property, or both, whether developed or underdeveloped; resulting or to result; known or unknown; past, present or future; arising out of participation in the YOGA program.

I recognize that the practice of Yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.  I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Yoga sessions. I have no medical condition, which would prevent my full participation in the YOGA (Therapy) Training.

I, the undersigned, fully understand the following and know that it pertains to myself: “While practicing all YOGA movements I will not go beyond the point of pain.  Under any circumstances, I will avoid straining myself.  In case of pain / strain, I will unwind the movement to alleviate the pain / strain.  I also understand YOGA exercises contain movements in which you will be upside down and constantly stretching every muscle in the body and any or all of these movements could result in serious injury or even death.  By signing this document I take full responsibilities for any type of injury or death. 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.  I do not have any medical conditions that would adversely affect me while undergoing this YOGA training.  I appreciate the opportunity to participate. If needed, I have or will consult my personal Doctor.


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.

 For Students/kids-(AGES 16 AND ABOVE CAN PLEASE FILL THIS FORM AND BELOW THE AGE OF 16, PARENTS SHOULD FILL OUT THIS FORM BEFORE THE CLASS BEGINS)

PLEASE FILL ONLY 1 FORM PER PARTICIPANT.
THANK YOU !