Prenatal Yoga Liability Waiver

Have you ever practice yoga?*
Is this your first baby?*
Have you had any complications with this pregnancy?*
(E.g: walking, swimming, gardening, cycling, etc...)
neck, shoulders, elbows, hands, wrists, hips, back (upper/lower), kness, ankles, feet, other? Please describe
(E.g. High/low blood pressure, diabetes, asthma, arthritis, epilepsy, eye problems, osteoporosis, recent surgery, fatigue/sleep disorder, digestive problems, colitis, diarrhea, hearing or ear problems, other)
Consent of Agreement:
*I understand it is my responsibility to consult with a physician prior to and regarding my participation in these yoga classes. *I agree to assume full responsibility for any risk, injuries, or damages known or unknown that might occur as a result of the yoga classes at Breathe Fitness Ltd. *I understand that it is my responsibility to keep the instructor informed of changes in physical abilities, and choose variations of postures that work within my range of motion and strength capacity on any given day. *I have read the above statement of liability and fully understand its contents. *I voluntarily agree to the terms stated.
SUBMIT
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