Innovative Yogis Intake & Waiver
Modern Technology Meets Ancient Wisdom -  Learn More at http://innovativeyogis.com/
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Email *
First Name *
Last Name *
Birthday *
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Phone *
Street Address *
Emergency Contact (Name, Relation and Number) *
Have you ever practiced Yoga and/or Meditation before? If so, what kind and for how long?
Please list any injuries, medical issues, and/or important medical history:
Would you like to receive our newsletter with yogi insights and inspiration, courses, retreats and more?
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Confidentiality
Innovative Yogis will hold your information in the strictest confidence and will not share it with anyone. What you share with us, stays with us, and will only be used in our efforts to fully support you with our offerings. Thank you for working with us, and trusting us to help you.
LIABILITY / STUDENT WAIVER AGREEMENT
I hereby agree to the following terms: That I am participating in Innovative Yogis classes, legally Innovative Yogis, LLC, and/or private yoga classes offered by Brett Engle or Penpa Dolma, during which I will receive information and instruction about yoga including but not limited to physical exercise, meditation, breathing techniques and health. I recognize that yoga requires physical exertion that 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 yoga. In consideration of being permitted to participate in Innovative Yogis or any other yoga class provided by Innovative Yogis, LLC, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in yoga class.

I am aware that photos may be taken in class for social reasons shared publicly within the Innovative Yogis community, but I may request not to be included in these photos at any time. In further consideration of being permitted to participate in yoga classes provided by Brett Engle and Penpa Dolma, and Innovative Yogis, LLC, I knowingly, voluntarily and expressly waive any claim I may have for injury or damages that I may sustain to my person or property as a result of participating in yoga classes. I, my heirs or legal representatives forever release, waive, discharge and covenant not to sue Brett Engle and Penpa Dolma, or Innovative Yogis, LLC, for any injury or death caused by their negligence or other acts. 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.
Electronic Signature (Please type your First & Last Name) *
Confirmation & Acknowledgement *
A copy of your responses will be emailed to the address you provided.
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