Registration & Participation Waiver

The Participation Waiver must be completed by every participant prior to attending your first NAVAWELL Community Class or Event. Please submit your waiver electronically by completing the form below. You may also fill out this form in person by arriving to class a few minutes early. You can download a copy and bring it with you here.

BASIC INFORMATION
Name of Participant *
Name of Participant
Daytime Phone Number *
Daytime Phone Number
Date of Birth *
Date of Birth
RELEASE OF LIABILITY
I am aware and understand that NAVAWELL is here to serve me by creating yoga related activities and sharing the knowledge of yoga and wellness to the best of their ability. By participating in NAVAWELL organized activities, I hereby waive and release any claim I might have at any point in time for injury or distress of any sort against NAVAWELL or any person or entity in any way involved therewith, including without limitation, its principals, instructors, employees, sub contractors, volunteers, and representatives. I understand it is my responsibility to know my physical limitations and capabilities with respect to practicing yoga and/or other physical activities offered by NAVAWELL. It is my duty to acknowledge any limitations and monitor my own health and ability to practice. It is also my liberty to deviate from the instruction with respect to such limitations if I deem it necessary for my own health and safety. I agree to take full responsibility for not exceeding my limits in the practices taught, for selecting appropriate postures or activities, and for any injury that might occur during the session or activity. I acknowledge that it is my responsibility to ascertain that there is no medical reason to prevent my participation in NAVAWELL activities. I also recognize that it is my responsibility to inform the instructor(s) when I begin participation in an activity of any condition that might affect my ability to participate and to inform the instructor immediately if any injury does occur during the activity or session. I understand that, during NAVAWELL activities, instructors may physically adjust my form in postures or movements to achieve correct alignment for my own development and/or safety. If I do not wish to receive such physical adjustments, I will communicate this to the instructor(s) before the start of each session I attend and will also inform instructor during adjustment when my limit has been reached. I also understand and agree that NAVAWELL is not responsible for the safekeeping of my personal belongings during my participation in a NAVAWELL session or activity and is not liable for lost or stolen items.
AGREEMENT OF TERMS *
ELECTRONIC SIGNATURE *
ELECTRONIC SIGNATURE
Of Participant if 18 years of age or older. If the participant listed at the top of this form is 17 or younger, this form must be completed and submitted by a parent or guardian 18 or older.
Would you like to receive our monthly newsletter with updates about classes and events? *

If you have any injuries or conditions they may affect your ability to practice yoga, please inform your instructor prior to the start of class.