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Full Name

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Last

Contact Number

Comment or Message

Acknowledgment & Assumption of Risk

I consent to medical treatment in case of an emergency.
I affirm that I have disclosed all relevant medical history to the instructor and will inform them of any changes.
I understand that yoga includes physical movements and exertion. By participating, I acknowledge and voluntarily assume the risk of injury.
I hereby release [Studio Name/Instructor's Name], from any claims, demands, and causes of action as a result of my voluntary participation in the offered classes.

Signature

Date of Signature