Student Waiver & Intake Form
Which class are you registering for?

Please read & click submit:

Everything in yoga is merely a suggestion. Please honor your body and do not exceed your own limitations: if it hurts, don’t do it! Yoga is not a substitute for medical advice, examination, diagnoses, or treatment.

 

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program, including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities.

 

I acknowledge that I am participating in classes or services during which I will receive information and instruction about yoga and mindfulness. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury. I am fully aware of the risks and hazards involved.

 

I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in the program. If I am representing a minor/minors, I assume full responsibility for any risks, injuries or damages, known and unknown, which they might incur as a result of participating in the program.

 

By clicking "Submit" I affirm that I understand the above and that I alone am responsible for deciding whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter against Jasmine Hollingsworth and/or Wyldflower Art (Yoga & Wellness).  

Previously completed the waiver but need to make a payment?

No problem. You can click the button to the right and make a payment through PayPal. I also accept Venmo @Wyldflowerart.

  • Facebook
  • Twitter
  • Instagram