Student Waiver

Welcome to Happy Heart Yoga!
We would like to make your yoga experience at HHY effective and enjoyable as possible.


Name_________________________________________________________ Date of birth___________

Address_____________________________________________________________________________

City________________________________________State__________Zip code______________

Phone number______________________________Email___________________________________

Emergency Contact (name, #)__________________________________________________________


We believe that yoga is much more than physical exercise. It is a transformative practice that integrates body, mind and emotional tensions to arrive at deeper levels of relaxation and awareness. All exercise programs involve a risk of injury. By choosing to participate in classes/workshops at Happy Heart Yoga , you voluntary assume a certain risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. It is my responsibility to consult with a physician prior to my participation in the yoga class.

I represent and warrant that I am physically fit and I have no medical condition that would prevent my full participation in yoga class. I am aware I may be physically adjusted. I agree to take full responsibility for any risk, loss, claim, injury, damage or liability, known or unknown, which I might incur as a result of participating in the practice.

Yoga is not a substitute for medical attention, examination, diagnoses or treatment. Yoga is not recommended nor safe under certain medical conditions. I affirm that I alone am responsible to decide wether to practice yoga. I knowingly, voluntarily, and expressly agree to accept full responsibility and assume the risk for my use of or participation in any and all classes, activities, apparatus, appliance, facility privilege or service, of any nature, which is owned or operated by Happy Heart Yoga Studio or its instructors. While engaging in any class or activity operated, organized, arranged or sponsored by Happy Heart Yoga and instructors on or off their premises, I shall do so at my own risk, and I do not have any physical conditions or disability that would limit my participation. Happy Heart Yoga and the instructors should not be held liable for any injury, loss, or damage to property and/or persons sustained during or as a result of participation in class. I agree to listen to my body and practice mindfully.

I have read the above release and waiver of lability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above.



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Signature

Date


If participant is under 18:

Signature of parent or legal guardian