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Student Liability Waiver Agreement

I ____________________________________ (print name) understand that yoga involves physical movements and activities which can be strenuous and may cause physical injury and that I must judge my individual ability when practicing yoga. By participating in a class, private, small group instruction or workshop taught by Janette Petrovich/JpetroYoga, in person or virtually, I volunteer to participate and agree to assume all responsibility for any risks, and outcomes of risks, including but not limited to injuries or damages that may occur during practice or at any time thereafter.

I am physically fit and have no medical conditions which would impact my ability to participate in practice. If I have any medical necessities, disabilities, injuries, or surgeries that could limit my practice, I agree to inform Janette Petrovich/JPetroYoga before any sessions. If I experience any discomfort during a practice, I will immediately inform Janette Petrovich/JpetroYoga. I also understand that in any of the above instances it is my personal responsibility to consult with my physician before participating in a yoga session. Furthermore, I understand that Janette Petrovich/JPetroYoga will not provide any medical services or supply a medical diagnosis.

I agree to hold harmless Janette Petrovich/JPetroYoga for any claim, demand, or liability of any nature, whether present or future, anticipated or unanticipated, that may result from my participation in a JPetroYoga class/private or small group instruction/workshop.

I have carefully read the above Student Liability Waiver Agreement and fully understand that my booking agreement serves as my signature when scheduling a yoga class with Janette Petrovich/JPetroYoga at

I voluntarily agree to the terms and conditions required to participate.


Name of Participant (please print clearly)



______________________________________                                                       ____________________

Signature of Participant                                                                                        Date




Name of Parent of Guardian (if participant is under 18 years of age)



______________________________________                                                      ____________________

Signature of Parent of Guardian (if participant is under 18 years of age)       Date

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