Student Details & Waiver Form

Thank you for practicing with Kind Yoga. Please complete the following to assist us in ensuring that you get the most out of your classes. Confidentiality of information is guaranteed.

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Thank you for your response. ✨

First Name

Surname

Pronouns (eg. she/her, they/them, he/him)

Please tick if you would like to receive email updates / newsletters from Kind Yoga

Have you practiced yoga before?

Yes

If YES, for how long / which styles / any details that you'd like to share about your yoga practice or experience:

Please share injuries / surgeries / pregnancy / other relevant details that I might need to know to support you most effectively in your practice:

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. (Please tick the box to acknowledge that you have read and agree with this statement).

I (as named above) understand that yoga is not a substitute for medical attention, examination, diagnosis, or treatment. By submitting this form, I affirm that a licensed physician has verified my good health and physical condition to participate in yoga classes. In addition, I will notify the teacher of any medical conditions, injuries or physical limitations before each class. I will not perform any postures to the extent of strain or pain. If I am pregnant, become pregnant or I am post-natal or post-surgical, by submitting this form I verify that I have my physician's approval to participate. (Please tick the box to acknowledge that you have read and agree with this statement).

I accept that the teacher, Robyn Bell (Kind Yoga), is not liable for any injury, or damages, to person or property, resulting from the taking of the class. (Please tick the box to acknowledge that you have read and agree with this statement).

How did you hear about these Kind Yoga classes?

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