Yoga Studio Registration / Waiver Form
Classes in our Yoga Studio are physical exercises. These classes consist of a series of postures that bend, stretch and compress every part of the body. This practice stimulates glands, circulation, respiration, and the nervous system. If you have any physical/medical problems, you must inform your physician and the instructor before beginning a class. When performing the exercises, listen carefully and follow the instructor's directions and
do not force yourself beyond natural limitations. I hereby agree to the following:
1. I am participating in classes or services during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.
2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program, including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities.
3. In consideration of being permitted to participate in the yoga classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in the program.
4. In further consideration of being permitted to participate in the yoga classes, I knowingly, voluntarily, and expressly waive any claim I may have against the instructor, the owner, or the leaseholder of the building for injuries or damages that I may sustain as a result of participating in classes or workshops held at Kur.
5. That if I participate in other classes or events at Kur (such as fitness, bootcamps, wellness events, etc.) that I will also assume full responsibility for any injuries that may result from my participation, with the same considerations that this waiver stipulates for yoga (items 1-4 above).
Thank you for completing this questionnaire; by doing so, your instructor can give you the most personalized and effective instruction possible. Your privacy, including the information on this form is strictly confidential, and will not be shared without your permission.
* By signing, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By signing here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.
January 17, 2021