Release of Liability Form

Please fill out the following form
in order to participate in any class or workshop.

First Name

Last Name

Date of Birth

Phone

Are you suffering from a medical condition, illness, or injury?

Yes

If you answered yes, please elaborate

Initials

I declare that the info I’ve provided is accurate & complete. I understand that fitness classes and workshops carry a risk of injury as does all physical activity and that I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in any programs. In further consideration of being permitted to participate in the yoga class/workshop/or other events, I knowingly, voluntarily and expressly waive any claim I may have for Body Awakenings and its affiliated instructors for any injury or damages that I may sustain as a result of participating in the program.

Thanks for submitting!