I hereby consent as a participant in a class at Boundless Holy Yoga and agree to assume all risks involved. I understand that Boundless Holy Yoga does not provide medical insurance relative to accidents, injuries, and/or death as a result of program related activities; and that I can not hold Boundless Holy Yoga or affiliated instructors personally responsible for any liability.

I recognize that any form of physical activity is a potentially hazardous one, and that such activities involve a risk of possible injury or even death. I hereby affirm that I am voluntarily participating in these activities with the knowledge of the risk involved. I agree to expressly assume and accept any and all risks of injury and/or death.

I hereby affirm myself to be physically sound and suffering from no condition, ailment, impairment, disease, or other illness that would prevent my participation in yoga activities; I declare that I have disclosed with Boundless Holy Yoga any and all medical history relevant to my participation.

Student Information Form and Agreement

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Name *
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Do you have any medical restrictions or conditions we should be aware of? *
Agreement *