Name * First Name Last Name Email * Cell Phone # * Emergency Contact Name and Phone # * Waiver * This waiver is required for insurance purposes. In any physical activity, the risk of serious physical injury is possible and cannot be entirely eliminated. Yoga and related activities are not a substitute for medical attention, examination, diagnosis, or treatment and are not recommended or safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program if required. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. The student assumes the risk of yoga and releases the teacher and Comet Yoga from any liability claims. If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in yoga that you listen to your body and respect its limits on any given day. I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education, and relief of muscular tension. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages, which may incur through participation. I am participating in classes or workshops with Vanessa Wells at Comet Yoga. 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 other events at the studio, 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. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. Please note there are no refunds. I have read and agree to the terms above Please sign with your name that you agree with the terms above. * How did you hear about Comet Yoga? What is your reason for taking this class? Please select the activities you have done. Yoga Meditation Pilates Running Do you do any other forms of exercise? Have you been diagnosed with: High blood pressure Back/neck pain Knee pain Low blood pressure Hip pain Osteoarthritis/osteoporosis Glaucoma Pregnancy (current) High or low blood sugar Chronic pain/TMS Is there anything else confidential you think I should know about? Thank you! Please submit a minimum of 24 hours before attending your first class.Your signature can be typed in rather than literally signed.
