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Couple Yoga

Client Waiver

Please take a moment to review our Release of Liability before participating in our programs. 

Yoga Practice Release of Liability

for Online + In-Person Classes & Programs |


I, the undersigned, acknowledge that it is my responsibility to inform the instructor of any injury or other condition that might affect my ability to participate in any activities, and to inform the instructor immediately if an injury occurs.


I will not perform any postures to the extent of strain or pain. If at any time during the class, I feel discomfort or strain, I will discontinue the activity.


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 accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class or program.

Privacy Statement | We take your privacy very seriously. Health information which you choose to share with me is always treated with confidentiality and respect.


For more information, you can read our Terms & Conditions and Privacy Policy here.

Health Declaration

Please fill out the following form in order to participate in our our classes + offerings.

Basic Information

Your Wellbeing

As your Yoga Teacher, this information helps me to support you in developing a safe and beneficial yoga practice. 

Have you practiced yoga before?
Please indicate if you have any of the following:

Your Emergency Contact

This is important so I can get in touch if ever required. 

Under 16?

Please have your parent/guardian sign below in order to participate in our programs. 

How did you learn about this class?

Your Signature

Thanks for submitting!

Questions? Contact us at

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