YOGA FORM

**If you have checked any of the boxes in the above question, it is important that you discuss these with your Doctor and get clearance that it is ok for you to participate in the yoga class. These sessions are not a substitute for medical counseling or treatment. Your doctor will be able to decide if there are any medical reasons why you should not take part in Yoga.

RELEASE: I am aware that I may be included in photographs taken at some classes/events that may be used for future promotional purposes on www.pocketyogini.com and associated social media websites. Please note: These will always be discrete, non-invasive and in most cases group photos. *

I have read and agree to the above statement

By checking the box below and submitting this form I agree that I have read and answered the above questions to the best of my knowledge. Where I answered Yes to any question, I agree that I have discussed the issue with my Doctor to ensure that it is safe for me to begin. I undertake all exercise programs and classes freely and voluntarily and understand that Management, staff and instructors will not be liable for any personal injury arising through participation. I further undertake to advise the teacher before the commencement of any class if for any reason my ability to exercise has changed. *

I have read and agree with the above statement.

Yoga Form