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Prenatal Yoga Registration Form & Waiver

Birthday

Do any of the following apply to you, please click all relevant boxes:

Multi choice

Agreement of Release and Waiver of Liability


As a student of this prenatal yoga class:

1. I understand and acknowledge that I am voluntarily participating in prenatal yoga classes and to receive instruction in yoga theory and exercises only. I will not hold my yoga instructor to any higher standard of care then that applicable to a school of theory and exercises.


2. I affirm that I have consulted my healthcare provider regarding my participation in prenatal yoga classes and have received clearance to engage in this activity. I will keep my yoga instructor (Nina Zettl) informed of any pains, illnesses, problems or conditions that arise or other changes in my pregnancy or physical health.


3. I will listen to my body each class and determine what I can and cannot do that day.


4. I am fully responsible for the outcome of my yoga as with any physical activity in pregnancy.


5. I understand that I should report any problems with my pregnancy to my midwife/physician.


I FURTHER STATE THAT I HAVE CAREFULLY READ THE FOREGOING RELEASE AND KNOW THE CONTENTS THEREOF, AND FULLY AGREE WITH IT AND UNDERSTAND IT, AND SIGN THE SAME AS MY OWN FREE ACT.

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