ABBIE LEA Yoga Disclaimer

If this is your first time practising with Abbie Lea please complete this form and return in person or via email to contact@abbielea.com

Please note, all of the information on this form is kept confidential.

Name: ___________________________________________________________________

Address: __________________________________________________________________

___________________________________________________________________

Postal Code:___________________

DOB: ___________________

Email: ___________________

Telephone: ___________________

EMERGENCY CONTACT: ___________________

EMERGENCY CONTACT PHONE NUMBER: ___________________

Have you practiced yoga before? YES/NO (Please circle)

Waiver

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 that you listen to your body, and respect its limits on any given day.

I, the undersigned, 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 accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person, property or otherwise, resulting from the taking of the class. Those under 18 years of age must have this form signed by a parent or guardian.

Date: _______________________________

Signed: ______________________________