Waiver

West End Yoga LLC
2313 W. Highland Street
Allentown, PA  18104

PLEASE NOTE: Your typed name represents your signature and, therefore, agreement with the statement below. Participants under the age of 18 require a parent’s signature.

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against West End Yoga instructors and/or West End Yoga LLC.

Your Name:
Today's Date:

Please provide the following information:

Do you have any health concerns that WE should know about?

Email:

Your Telephone Number (123-123-1234):

 No Please specify if you do not want to receive WE NEWS via email, which would include important information, such as class cancellations and changes, and upcoming events.