Participant Registration & Waiver

The information you provide here will be held in the strictest confidence.

We use the secure server ???? to store your data. As per our privacy policy, under no circumstance will the data be shared.

If you would prefer a hard copy to be mailed to you, so you can fill out and sign immediately prior to our event, we will be happy to do so.

 

Name *
Name
Identifying as:
Marketing permissions *
Would you like to receive occassional emails from us about upcoming events and special offers? We promise not to share your details with anyone else.
Phone *
Phone
Yoga Experience
Our yoga experiences are suitable for everyone; from complete beginners to those with more experience in yoga. The following information just helps us best tailor our yoga to the group on the day.
What are you preferred styles of yoga *
Tick those that apply
Pre- existing Health Conditions
The following questions are designed so that we can best tailor you yoga experience, with consideration given to your current state of health and previous health history. Some yoga practices are unsuitable for certain conditions and injuries, therefore modifications need to be given to individuals.
Please detail
Dietary Requirements *
Please select
Declaration *
Participant Waiver & Release *
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 in yoga that you listen to your body, and respect its limits on any given day. I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages, which may incur through participation. I understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program, if required. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Albany Yoga Holidays/ Tash Rolfe and all related facilities and premises for any personal injury or negligence. Additionally, the facility, instructor and Albany Yoga Holidays/ Tash Rolfe are not in any way responsible for any loss or damage of your personal property. Those under 18 years of age must have this form signed by a parent or guardian. If any portion of this release from liability shall be deemed by a Court of competent jurisdiction to be invalid, then the remainder of this release from liability shall remain in full force and effect and the offending provision or provisions severed here from.