Yoga Questionnaire
This form will help The Studio @ RWA assist you with reaching your Yoga goals.
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Email *
Full Name *
Phone Number *
Any health-related issues you want me to be aware of? *
Any additional comments or concerns? *
RELEASE/WAIVER OF LIABILITY AND AGREEMENT ​​I UNDERSTAND THAT YOGA INCLUDES PHYSICAL MOVEMENTS AS WELL AS AN OPPORTUNITY FOR RELAXATION, STRESS RE-EDUCATION, AND RELIEF OF MUSCULAR TENSION. AS IS THE CASE WITH ANY PHYSICAL ACTIVITY, THE RISK OF INJURY, EVEN SERIOUS OR DISABLING, IS ALWAYS PRESENT AND CANNOT BE ENTIRELY ELIMINATED. IF I EXPERIENCE ANY PAIN OR DISCOMFORT, I WILL LISTEN TO MY BODY, ADJUST THE POSTURE AND ASK FOR SUPPORT FROM THE TEACHER. I WILL CONTINUE TO BREATHE SMOOTHLY. YOGA IS NOT A SUBSTITUTE FOR MEDICAL ATTENTION, EXAMINATION, DIAGNOSIS OR TREATMENT. YOGA IS NOT RECOMMENDED AND IS NOT SAFE UNDER CERTAIN MEDICAL CONDITIONS. I AFFIRM THAT I HAVE BEEN CHECKED BY MY DOCTOR AND CLEARED TO PRACTICE YOGA PRIOR TO SIGNING UP FOR PRIVATE/GROUP LESSONS WITH BRYNE BOYER. I HEREBY AGREE TO IRREVOCABLY RELEASE AND WAIVE ANY CLAIMS THAT I HAVE NOW OR MAY HAVE HEREAFTER AGAINST BRYNE BOYER, THEIR HEIRS, SUCCESSORS OR ASSIGNS. I AGREE TO THE ABOVE POLICIES AND PRICING FOR PRIVATE/GROUP YOGA LESSONS WITH BRYNE BOYER. *I agree. (Please make sure the form is properly submitted. If required fields are not filled out, the form will not send.) *
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