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Waiver
Prenatal Waiver
Name
(Required)
First
Last
Email
(Required)
Phone
(Required)
Emergency Contact
(Required)
First
Last
Phone
(Required)
Any injuries, physical limitations or concerns that you would like to share with the instructor?
Do you have any high-risk factors associated with this pregnancy? If so, please describe below.
Due Date
(Required)
MM slash DD slash YYYY
Sunfire Yoga LLC Participant Waiver
(Required)
By checking this box, you agree to the following:
I am fully responsible for the outcome of my yoga practice and participation in this class. 

I understand that there is a risk of injury associated with yoga as with any physical activity. 
To reduce the risk of injury, consult your healthcare provider before beginning this program. 

I understand that Sunfire Yoga LLC and its instructors cannot make a determination about 
the safety of yoga class for each individual. Only my healthcare provider and I can make that determination. 

I understand that if I move with care, intelligence, safety and self-awareness, injury is unlikely. Should injury or complications arise, Sunfire Yoga LLC, all teachers (independent 
contractors), substitutes and employees are absolved of all responsibility. 

I will keep my yoga teacher informed with any changes in my physical health.
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