Yoga Client Form

YOGA Liability Waiver Agreement

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction, and relief of muscular tension. Participation in yoga class includes, but is not limited to, participation in meditation techniques, yogic breathing techniques, and performing various yoga postures and movements of the body.

As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. My signature acknowledges I understand that in yoga class I will progress at my own pace. If I experience any pain or discomfort, I will listen to my body, adjust the posture, and not push my body past the point of its current capabilities. By signing my name below, I acknowledge that participation in yoga classes exposes me to a possible risk of personal injury. I am fully aware of this risk. I hereby consent to receive medical treatment that may be deemed advisable in the event of injury, accident and/or illness during any yoga class.

Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. Yoga is not recommended for and is not safe for people with certain medical conditions. I understand that On and Off Balance YOGA, including all staff cannot provide medical advice or diagnosis. I acknowledge and agree that all classes, programs, series, and regimens are carried out at my election and at my own risk. Nothing within any class, series, workshop, etc., should be construed as any form of medical advice or diagnosis.

I hereby take action for myself, my executors, administrators, heirs, next of kin, successors and assigns as follows: I (a) irrevocably WAIVE, RELEASE AND DISCHARGE FROM ANY AND ALL LIABILITY for my death, disability, personal injury, property damage, property theft, or actions of any kind which hereafter may occur to me including my traveling to and from yoga classes, On and Off Balance YOGA, Polished Spa, and each of their directors, officers, employees, volunteers, representatives, and agents; and (b) INDEMNIFY, HOLD HARMLESS AND AGREE NOT TO SUE the entities or persons mentioned in this paragraph as to any and all liabilities or claims made as a result of participation in the yoga classes, whether caused by the negligence of releasees or otherwise.

My signature verifies that I am physically, mentally, and emotionally fit to participate in yoga classes and a licensed medical doctor has verified my physical condition for participation in this type of class. If I am pregnant, become pregnant, or am post natal, my signature verifies that I am participating in yoga classes with my doctor’s full approval. I realize that I am participating in yoga at my own risk.

This Liability Waiver Agreement shall be construed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I acknowledge that this Liability Waiver Agreement form will be used by the persons or entities being released in the yoga classes and that it will govern my actions and responsibilities in said classes.

I hereby certify that I have read this document; and, I understand its content.

I am aware that this is a release of liability as well as a contract, and I sign it of my own free will.

I give permission to the Teacher to lead me through yoga classes and will hold him/her and his/ her staff harmless from any liability that may result. I understand and accept the risks. I have chosen to proceed with the class after careful consideration of the possibility of both known and unknown risks, complications, and limitations. I agree that this constitutes full disclosure, and that it supersedes any previous verbal or written disclosures. I certify that I have read, and fully understand, the above paragraphs and that I have had sufficient opportunity for discussion to have any questions answered. I do not hold On and Off Balance YOGA or Polished Spa responsible for any of my conditions that were present, knowingly or unknowingly, but not disclosed. I understand that this agreement will remain in effect for this class/series and all future classes/series.




A minimum of 24 hours’ notice is required to reschedule or cancel a booked CLASS without penalty. A minimum of 7 days notice is required to reschedule or cancel a booked SERIES without penalty. If you register for a SERIES within 7 days of the start date, you may reschedule or cancel within 2 hours of booking without penalty.

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As a courtesy, reminder emails are sent out within five minutes of booking and/or 48 hours prior to your scheduled class/series. All class cancellations require at least 24 hours notice. If a cancellation is made within the 24-hour time frame, you will be charged 50% of the class cost as a cancellation fee. If a class is cancelled or rescheduled within 4 hours of the start time, or if you do not show up, you will be charged 100% of your service as a cancellation fee.

If you are unable to attend one of the series’ classes, it will be recorded for you to the extent in which technology allows and emailed to you. Should technology not allow for video taping the class, you will receive a credit for one livestream class of your choice. In-studio class make ups are not available.

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If you, or another person in your household, has an infectious or contagious disease or illness, or has possibly been in contact with someone who has an infectious or contagious disease or illness, including but not limited to COVID-19, please contact us as soon as possible to set up alternate class arrangements. Possible alternatives may be, the Teacher recording the class and emailing it to you, a livestream broadcast to you during the time of the class, or a credit for a livestream class. The determination of the alternative is at the full discretion of the Teacher. Credits for in-person classes will not be allowed.

For your safety and that of staff and other students/clients, please do not come to class sick. A one-time allowance of last-minute cancellation will be permitted for sickness or family emergency. After that, the cancellation and no show policy will be in effect.

Should the teacher need to cancel or reschedule a class due to sickness, emergency, or possible infection of a contagious illness, such as but not limited to COVID-19, make up arrangements will be made at the sole discretion of the Teacher dependent upon the situation. Options include Students attending a livestream broadcast of the class at the same or agreed-upon time, rescheduling an in-person class of the same format, or being awarded a credit for one livestream class of the Student’s choosing.

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I understand that, because yoga involves being indoors with other yoga practitioners, there may be an elevated risk of disease transmission, including COVID-19. By signing this form, I acknowledge that I am aware of the risks involved in practicing yoga at this time, I voluntarily agree to assume those risks, and I release and hold harmless the Teacher/business from any claims related thereto. I give my consent for the Teacher to lead me through yoga classes.

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If Participant is under the age of 18: 

 I consent and agree to the above terms and conditions set forth in this Liability Waiver Agreement.

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Who will be participating?

Adult  Adult and Children  Children

Signee Information

New Student Information

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.