Student Waiver Agreement

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.  I know the teachers are there to help me and respect my body, but I know they can’t know what’s going on in my body, so therefore I will be responsible for taking care of myself.  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 affirm that I alone am responsible to decide whether to practice yoga.  I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Patricia Glynn.

I understand that I am responsible for my own safety and transportation to and from the retreat and during my stay at _________________(Retreat Location).

Name:(print)____________________________________________________

Signature:______________________________________________________

Emergency Contact name & number ________________________________________________________________

Date:_______________________________

Email:______________________________