top of page

RELEASE AGREEMENT:

WAIVER OF RESPONSIBILITY FOR PERSONAL INJURY

Please complete this form prior to your first class. If your health status changes, it is important that you inform your instructor(s) of injuries or health conditions so they may understand how best to assist you during your practice or suggest modifications as needed.


If you have questions/concerns, please email: info@songbirdstudios.yoga


Please note an asterisk* indicates a required field.

Birthday
Month
Day
Year

RELEASE AGREEMENT:

WAIVER OF RESPONSIBILITY FOR PERSONAL INJURY

By signing, dating, and checking the box agreeing to the terms and conditions of this Release Agreement, I affirm that I accept full and sole responsibility for any injury that may result from my participation in any class, workshop, or event hosted by Annie Walsh and Songbird Studios Yoga. I hereby, for myself and all who may hereafter claim through me or for me, waive and release future claims, rights, and causes of action against Annie Walsh, Songbirds Studios Yoga, their employees, agents and/or representatives from all responsibilities or liability for any injury.


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, discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all damages, which may incur through participation.


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 a licensed physician has verified my good health and physical condition to participate in such a fitness program.


In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate.


I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Annie Walsh, Songbird Studios Yoga, and its instructors.

Drawing mode selected. Drawing requires a mouse or touchpad. For keyboard accessibility, select Type or Upload.
Date
Month
Day
Year

Join us on mobile!

Download the Spaces by Wix app and join “Songbird Yoga” to easily stay updated on the go.

bottom of page