Yoga

first names

Last Name

email address

contact number

Address

D.O.B.

If you answered Yes to any of these questions, please supply further relevant and necessary information.

In signing below you will be confirming that you will take full responsibility for your health and well being during the hot yoga class and that you will update the studio of any medical changes in your circumstance, in advance of class.
‍
Health and Safety - I have been certified by a licensed doctor within the past twelve months to be in good physical health and fully able to perform all yoga exercises which I am to learn and perform during my enrolment with Original Hot Yoga Ltd. I represent and warrant that I have no medical condition or injury which would prevent me from fully participating in Hot Yoga. Any impairment I have I have disclosed. I understand that it is my continuing responsibility to inform the instructors at Original Hot Yoga Ltd of any previous or current medical conditions, injuries or surgeries prior to class. It is my continuing responsibility to follow the instructions of my instructor at Original Hot Yoga Ltd, on how to carry out the postures and any deviation by me from such instructions shall be at my own risk. If I perform any of the postures or techniques which I learn in an Original Hot Yoga Ltd class out with the supervision of a teacher from Original Hot Yoga Ltd this is at my own risk. I am to receive instruction in yoga theory and exercises only, and I will not hold Original Hot Yoga Ltd, teachers, or employees to any higher standard of care than that applicable to a school of yoga theory and exercises. Assumption of Risk I am aware that Hot Yoga classes involve intensive physical activity and exertion and are conducted in a heated room. I recognise that such physical activity and exertion may be difficult and strenuous and could cause or aggravate a physical injury or medical condition; I assume full responsibility for any risks, conditions, injuries or damages, known or unknown, which I might incur or aggravate as a result of my participation. Release of liability and waiver of claims In future consideration of being permitted to participate in Hot Yoga, I knowingly, voluntarily and expressly waive any claim I may have or acquire against Original Hot Yoga Ltd, for any injury, condition or damages that I may sustain as a result of entering or being on the premises or participating in Hot Yoga. I waive, discharge and covenant not to sue Original Hot Yoga Ltd for any injury, condition or death which arises, is caused by or is aggravated by reason of my participation in Hot Yoga. [insert here a link to the T&C’s from the website so when you are asking the customers to sign the below declaration they are also signing that they have received and read the T&C’s] I agree to abide by these terms above plus operational rules which may be displayed in various parts of the studio. Original Hot Yoga Ltd reserves the right to make amendments to these terms. I understand that if I do not comply with these rules, I may be denied access. I have read the above agreement of release of waiver and liability and fully understand its contents, I voluntarily agree to the terms stated above.