New Student Registration – Waiver Form


Select all that applies to you.
Please explain any “yes” answers in detail below or on the reverse side of this form, as well as any additional information you would like to share:
“I affirm that I am in good physical condition and do not suffer from any disability (including but not limited to cardiovascular, musculoskeletal, and respiratory conditions) that would prevent or limit my participation in physically challenging exercise. I fully understand that I may injure myself as a result of my participation in yoga and I,on behalf of my self, my heirs and assigns, hereby release Omni 1 and instructors from any liability, loss, cost, expenses of damages, now or in the future, including but not limited to: heart attacks, muscle, ligament or tendon strains, sprains, pulls, or tears, joint dislocation, heat exhaustion and all other illness, soreness, or injury, including, those caused by negligence or action of the instructor. I also fully understand that instructors may make hands-on adjustments and it it my responsibility to inform the instructor prior to class if I do not wish physical adjustments to made on my person. This agreement is governed by California law and any disputes shall be resolved in National City, Ca