Yoga is a form of physical activity and, as with any physical activity, participation carries some inherent
risk of injury. Please read the information below carefully before taking part in a class.
Health & participation
Please let me know about anything that may affect your ability to participate safely in a yoga class.
Do you currently have, or have you recently experienced, any of the following?
- Injury or ongoing pain
- Recent surgery or medical treatment
- Heart or cardiovascular condition
- High or low blood pressure
- Dizziness, fainting or balance issues
- Joint, bone or muscular condition
- Pregnancy or recent pregnancy
- Any other medical condition, physical limitation or circumstance that may affect your participation
If you are unsure whether yoga is appropriate for you because of an injury, health condition, pregnancy or
other circumstance, you should seek advice from an appropriately qualified healthcare professional before
participating.
Emergency assistance
If I become unwell or injured during a class and am unable to make decisions for myself, I consent to
reasonable first aid being provided and/or emergency medical assistance being contacted where considered
necessary.
Participant agreement
By agreeing to this form, I confirm that:
- I understand that yoga involves physical movement and exercise and that participation carries inherent risks, including but not limited to strains, sprains, falls and other injuries.
- I take responsibility for working within my own abilities and physical limitations.
- I understand that I am free to modify or decline any movement, posture or exercise at any time.
- I will stop participating if I experience pain, dizziness, shortness of breath, unusual discomfort or any other symptoms that concern me.
- I will inform the instructor of any relevant injury, medical condition, pregnancy or change in my health that may affect my participation.
- I understand that yoga instruction is not a substitute for medical diagnosis, treatment or advice.
- I understand that the instructor may suggest modifications or alternatives but that I remain responsible for deciding whether a movement is appropriate for me.
- I voluntarily choose to participate and accept the inherent risks associated with yoga and physical exercise.
Assumption of risk & liability
I acknowledge and voluntarily accept the inherent risks associated with participating in yoga classes.
To the fullest extent permitted by applicable law, I agree that Be Your Own Coach LTD (trading as
Yoga with Kathy B) and the instructor, Kathy Brooke, will not be responsible for injury, loss or damage arising
from the ordinary and inherent risks of participating in the class.
Nothing in this agreement is intended to exclude or limit liability where such liability cannot lawfully be excluded or limited.
I understand that this agreement does not remove the instructor's responsibility to provide instruction with reasonable care and skill.
Declaration
I confirm that I am aged 18 or over, that I have read and understood this form, that the information I have
provided is accurate to the best of my knowledge, and that I am participating voluntarily.
I understand that this declaration will apply to my participation in future Yoga with Kathy B classes
unless I notify the instructor of a relevant change in my health or circumstances.