Wellness Waiver

Please fill out the following health declaration form in order to participate in our activity.
 
I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the classes offered.  I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the yoga classes, programs, or workshops. 
I understand it is my responsibility to inform the instructor of any limitations before class begins. 
 
I hereby WAIVE AND RELEASE Heart 2 Heart Wellness Center, its owners, officers, employees, and instructors from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered at the facility. In taking part in the yoga classes, workshops, or other activities at H2H, I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes, workshops, or other activities.   
 
I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above. By typing my name below, I agree to the above terms & conditions.
 
We look forward to helping you elevate your self-care!
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3306 Plaza Drive

New Albany, IN 47150

812.725.1089

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