RelaxYoga Online Student Registration Form
This form functions as Agreement of Release and Waiver of Liability
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Full Name *
Date of Birth *
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Full Address
Phone Number
Preferred Email *
Would you like to subscribe to the RelaxYoga newsletter for easier updates? *
Preferred method of communication? *
Emergency Contact Name and Phone Number/Email
Yoga experience (if any)? *
Preferred days and times for classes? Please try to give multiple options, and add your time zone. *
The information requested below will help me to make the classes you attend as safe, productive and enjoyable as possible. Details will be treated in the strictest confidence and seen only by your teacher. If at any time during class you feel discomfort or strain, gently come out of the posture and rest. It is vital in yoga that you listen to your body and always respect its limits, which will vary from day to day.
Do you have any health issues? Could they be aggravated by exercise (i.e. back, neck, shoulder or knee problems, pregnancy, recent injury or operation, etc.)? If so, please explain: *
It is your responsibility to inform the instructor of illness, injury, and other limitations before class begins, and update as needed.
How did you find out about Elisa/RelaxYoga?
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Please read the following and ask me if you have any questions.
1. 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.
2. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all damages, which may incur through participation.
3. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions.
4. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program.
5. I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk.
6. When practising from home, I accept full responsibility for my home space and the health and safety precautions within this space.
7. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Elisa Citro as RelaxYoga.
8. I have read and fully understand and agree to the above terms of this Agreement and Release of Waiver of Liability. (Those under 18 must have this form signed by a parent/guardian.)
In person classes during Coronavirus (COVID-19)
If I attend an in person class whilst Coronavirus restrictions and safety measures are in place, I will:
1. Take care of myself by following the appropriate government guidance on measures such as hand washing and social distancing.
2. Follow the protocols and safety measures set out by Elisa Citro as RelaxYoga for attending in person classes
3. Not attend any class I have booked should I be displaying any symptoms or have knowingly been in contact with anyone who is symptomatic.
4. Inform Elisa Citro as RelaxYoga should I develop symptoms following attendance at an in person class.
Online & virtual classes

1. As with in person classes, by taking part in any online class, I acknowledge that classes may be physically strenuous, and I voluntarily participate in them with full knowledge that there could be a risk of personal injury.
2. When practising from home, I accept full responsibility for my home space and the health and safety precautions within this space.
3. I acknowledge that Elisa Citro as RelaxYoga accepts no responsibility for any potential injuries as a result of practise outside of the studio space.
4. Elisa Citro as RelaxYoga is not responsible for any injuries I may experience as a result of my use of any material found on the company website.
5. Whilst practising online I am responsible for choosing and taking suitable modifications within my practice and if I choose to divert from the general instructions of the class, then I am doing so at my own discretion.
Cancellation Policy
- In the event of any technical issues, you will be able to reschedule, as this is unpredictable.
- Booking is recommended to be made at least 48 hours in advance. This assures that you can get a time slot that works best for you. The class will only be scheduled upon payment (unless agreed otherwise).
- Changes or cancellation of your booking can be made within 24hrs prior to the session.
- If a class is cancelled with less than 24hrs notice before the class is due to start, there is no refund unless a medical reason is provided with a note from your medical practitioner.
- If you would like a refund to your bank account, there will be a 15% admin fee up to a maximum charge of £5.
- Wrongfully using my services, any rude or inappropriate behaviour or questions will result in cancellation of class/future classes with no refund.
I have read and accept all the above and agree that upon booking any of Elisa Citro's services I am confirming I indicate acceptance of this waiver. *
Thank you!
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