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Yoga Student Waiver

Please, if you are feeling unwell, even a little,
please honour your health by resting at home.
Self-care first and respect for your community. 

In order to make our yoga space accessible to people who are sensitive/and or allergic to fragrance, please avoid wearing products that contain lingering scents.

*please fill out sections A, B, and C*

A

Yoga Member Registration

B

Please read the questions carefully and honestly check any that apply to you:
Please check any existing or past conditions

If you checked one or more, please consult with your health professional before starting any physical activity, such as
"Yoga with SamB.".

C

Informed Consent Agreement

In any physical activity, risk of serious physical injury is possible.  Yoga is no substitute for medical diagnosis and/or treatment. I, the student, assume full responsibility during and after  participation for my choices to use or apply, at my own risk, any portion of the information or instruction I receive  and release the teacher, Samantha Bulmer from any liability claims.

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I, the student, understand that part of the risk involved in undertaking "Yoga with SamB" is relative to my own state of fitness or health (physical, mental or emotional) and the awareness, care and skill with which I conduct myself in "Yoga with SamB."

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I, the student, am participating in "Yoga with SamB" and 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 "Yoga with SamB, 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 during "Yoga with SamB", to find a pace that suits me ; I am free to withdraw from, reduce or modify my involvement in program activity. I realize I should stop all physical activity if I feel and recognize any signs of transient lightheadedness, fainting, chest discomfort, leg cramps, nausea, etc. 

Please check: *

By submitting this form, you acknowledge and agree to the terms, and it will service as your digital signature. 

Thank you for submitting!

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