Fill out the online yoga waiver form by a parent or guardian if participants under 18 years of age.

Lisa Devi Awakening • ZOOM Yoga Waiver Form

**Please note, all of the information on this form is kept confidential.

REGISTRANT DETAILS:

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Referred By (Only Studio or Student Referral Will Be Accepted): *Please enter your answer here.

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Emergency Contact & Phone Number: *Please enter your answer here.

Detailed Background in Yoga and/or Qigong: *Please enter your answer here.

Waiver

If at any time during the ZOOM class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in yoga and qigong that you listen to your body, and respect its limits on any given day.

I, the undersigned, understand that yoga and qigong is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including yoga and qigong. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every class. I will not perform any postures to the extent of strain or pain.

I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the ZOOM class. Those under 18 years of age must have this form signed by a parent or guardian.

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