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REGISTRATION FORM

Name :

Address :

Contact No :

All Information is strictly confidential.

Do you have any medical/physical disorder ?


Are you presently taking any medicine or under the care of a physician ?


Please be aware that the yoga instructor does not assume any responsibility for determining your medical fitness to participate in the class nor assume any responsibility for any injuries to you or loss of a property by you in or about the Premises. It is the responsibility of the client to inform his/her instructor of any medical condition i.e. high blood pressure , slip disc,etc. which should be taken in to consideration while practice yoga.


It is my (client) responsibility to ask for clarification or anything I do not understand. I will not put my body in any position that does not feel comfortable. If I feel any pain I will stop immediately.


I understand this class is for me develop an awareness of my body and will learn to heed the messages it sends me . I agree to waive against any person connected with practice for any injuries I sustain and assume full responsibility for all my action related to practice.


I understand and agree to the conditions set out above.



Enter Your Full Name : Date :