Soul Sanctuary Studios - Youth Waiver Form

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By completing this Youth Waiver Form you are thereby confirming your understanding that Soul Sanctuary Yoga Classes are Adult Yoga Classes, they are not Kids Yoga Classes. Therefore, you must consider whether your Youth would be physically and emotionally comfortable in an adult class. Please consider the class duration, activity level and topics discussed in your chosen yoga classes before booking your Youth into class - only you know what your Youth would be comfortable with. By completing this form you are thereby accepting that neither the instructor, nor the hosting facility are liable for any injury or damages, to person or property, resulting from the taking of the class and yourself and the Youth understand that the he or she is subject to the rules, regulations, and restrictions expressed by Soul Sanctuary Ltd.

Youth Name:

Youth Birthday:

YYYY

Youth Age (must be 9 years + to attend classes):

Youth email (state parent email if they do not have an email):

Guardian name:

Relationship to Youth:

Guardian phone contact:

If the Youth is currently experiencing any medical conditions (e.g. injury, asthma, epilepsy...) that the instructor should be informed of please specify here:

If the Youth is currently taking medications or has serious allergies that should be made known to medical personnel in case of an emergency, please indicate them here:

The Youth is 9 years or older

I confirm the above.

Clear selection

Please convey the following information to your Youth: Asana (yoga posture) means posture easily held. If it’s too hard or if it hurts, you can stop. You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day.

I confirm the above.

Clear selection

All our yoga classes are adult classes. Please confirm that you are responsible to ensure that you child is able to respect the class and other attendees in class to ensure there is no disruption to the flow of the class.

I confirm the above.

Clear selection

I, the legal guardian of minor, hereby give permission and consent for the above-mentioned minor to participate in any and all yoga classes given by Soul Sanctuary Ltd. I recognise that Yoga involves physical movement, which at times can be strenuous, and the practice may carry risk of injury. I understand that if an individual instructor does find my minor to be unsuitable for his or her class, it is at the instructor’s discretion to not allow him or her to participate in future classes.

I confirm the above.

Clear selection

In the case where my child has an injury, sickness or anything else that may be affected by physical activity, I have consulted with physician to ensure my child can take yoga classes. I recognise that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class. I, the undersigned parent or guardian, understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Please note Soul Sanctuary Ltd. use aromatherapy and pure essential oils in some of my yoga classes. If you are allergic to essential oils, advise me before each class.

I confirm above.

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Please follow the steps to add your Youth to your account so that you can pay for them below: 1. Log into your Wellness Living account online - 2. Click on My Profile 3. Under Family Members, click Add Family Member 4. Fill in their details and press Save. 5. If adding your Youth to our account, please remember to tick the box that enables you to pay for their classes. 6. Go to Store, select who you are buying for, purchase student class pass on your child’s account.

I confirm the above and have created an account for my child.

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 accept that neither the instructor, nor the hosting facility is liable for any injury, or any damages, to person or property, resulting from the taking of the class. I and the above-mentioned minor further understand that the he or she is also subject to all the rules, regulations, and restrictions expressed in Soul Sanctuary Ltd. Agreement and Waiver of Liability. I hereby grant Soul Sanctuary Ltd. permission to use my Youth’s likeness in a photograph in any and all of its publications, including website entries, without payment or any other consideration. I have carefully read the release, fully understand and agree to the above.

I confirm the above.

Clear selection

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