Name *

First Name

Last Name

Birthday

MM

DD

YYYY

Waiver *

I agree to the following: I understand that Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including yoga; I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the extent of strain or pain; I assume full responsibility for any risks, injuries, or damages, known or unknown, which I might incur because of this practice. In further consideration of being permitted to participate in this class, I knowingly, voluntarily, and expressly waive any claim I may have against Ashtanga Yoga Albany, its teachers and staff, for injury or damages that I may sustain because of participating in the program. I, my heirs, or legal representatives, forever release, waive, discharge and covenant not to sue for any injury or death caused by their negligence or other acts.

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.