Liability Waiver | Sakara Holistic

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Liability Waiver & Release

First Name

Last Name

Date of Birth

Please check any exisiting or past conditions:

High blood pressure

Back/neck pain

Knee pain

Low blood pressure

Hip pain

Anxiety/depression

Glaucoma

Pregnancy (current)

Low blood sugar

Please list any other health concerns, injuries, allergies, or medical conditions.

In any physical activity, risk of serious physical injury is possible. Yoga and other activity is no substitute for medical diagnosis and/or treatment. The student assumes the risk of yoga or other activity and releases the teacher(s) and Sakara Holistic from any liability claims.

I am aware of the physical risks involved with exercise and understand it is my personal responsibility to consult with my doctor regarding my participation. I have no medical conditions, that I am aware of, which would prevent me from taking part in classes or workshops, and I assume responsibility for any risk or injury I may sustain as a result of my participation. I have read the above release and waiver of liability and understand its contents. I understand that it is my responsibility to find a pace that suits me. I agree to the terms and conditions stated above.

Typing your full name serves as your signature

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What people are saying about Sakara Holistic.png

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Xiomara Jorge-Zok

Love it. Very relaxing. Its a one hour vacation, a hour for self love.

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Shannon Parry Pingitore

This is a wonderful space with great energy! Kelli is an inspiring yogi with a beautiful heart. I can't wait to go back!!

Jessica Lynn Davis

Beautiful, high-vibe space full of helpful people.

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