HEALTH WAIVER

Name

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Date of Birth

I understand that any physical activity, including relaxation, carries with it risk and I accept all risk involved in practicing yoga.

Yes

I understand that yoga teachers use hands-on adjustments and it is my responsibility to inform the teacher if I do not want hands-on adjustments.

Yes

I understand that practicing yoga and meditation can elicit strong emotions, and it is my responsibility to seek professional help if those emotions overwhelm me.

Yes

I agree to not hold responsible: Abhaya Yoga LLC, Oak Park, Illinois, USA or Casa de la Diosa, Guanajuato, Mexico, or Muriel Quinn or any instructors in these places that are teaching and/or guiding students through any of the eight limbs of yoga, should I suffer either physically or emotionally.

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete