Ebb and Flow Yoga: Waiver of liability

First name

Last name

Date of Birth

Do you have a doctor’s permit to participate in this physical activity?

Yes

If yes, please email doctor's permit to alexandriagableyoga@gmail.com

yes I sent it

no permit is needed for this activity

In any physical activity, risk of serious physical injury is possible. Yoga and other activity is no substitute for medical diagnosis and/or treatment. The student assumes the risk of yoga or other activity and releases the teacher(s)__Alexandria Gable____and _Kurtz Beach Ltd. and the Yoga Barn Llc.________ from any liability claims. I, _____________________ (please print name), am participating in classes or workshops with ___Alexandria Gable____. I am aware of the physical risks involved with exercise and understand it is my personal responsibility to consult with my doctor regarding my participation. I have no medical conditions, that I am aware of, which would prevent me from taking part in classes or workshops, and I assume responsibility for any risk or injury I may sustain as a result of my participation. I have read the above release and waiver of liability and understand its contents. I understand that it is my responsibility to find a pace that suits me. I agree to the terms and conditions stated above.

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

Hello

About Alex

Hi, I’m Alex. It took me awhile to get here. Lots of blood, sweat, and tears but I’m finally here, in this moment, and I want to share it with all of you.

About Me

ABOUT

TESTIMONIAL

CONTACT

Get In Touch

alexandriagableyoga@gmail.com