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Health waiver form

Waiver and Release 

Please fill out the following in order to participate in activities

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I understand that it is my responsibility to consult with a physician prior to and regarding participating in an exercise program including yoga. I affirm that I alone am responsible to decide whether to practice yoga. I agree to allow photos or videos taken during these sessions for educational purposes that can be used by Fabienne Grossman, RD, LD, LLC on website, facebook and other marketing venues. I hearby agree to irrevocably release and waive any claims that I have now or hereafter may have against Fabienne C. Grossman, RD,LD, LLC, its owners, employees, volunteers, independent contractors and instructors.

I hereby specifically confirm that I have read, understand, and agree with the above-referenced provisions.

Thanks for submitting! Please go back and complete the schedule process

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