Please fill out this form before your booking time.Taking responsibility for your own health is the first step on your healing journey. We look forward to guiding you in becoming all that you can be! Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Phone NumberStreet AddressCityEmergency Contact NameEmergency Contact NumberEmergency Contact RelationshipPartnerParentChildFriendOtherDo you have any specific issues or concerns regarding your health or have you had any injuries that may affect your practice?I feel ___ with hands on assistanceComfortableNot comfortablePlease describe your current state of healthPoorAverageGoodGreat current issues feel List any medications you're currently taking that we should know aboutI have previous experience in all of the following (check all that apply)YogaQi GongCrystalsFitnessMantraChakrasHow did you hear about us?Internet SearchSocial MediaFriend or Family memberOtherOpt-in to our Mailing ListI want to stay informed about upcoming workshops, promotions, and wellness tipsTerms of Service *By clicking Submit I accept the terms of service belowAssumption of Responsibility === I understand that it is my responsibility to inform the instructor of any physical limitations or medical conditions before the class begins. Release and Indemnity === I hereby assume full responsibility for any loss, injury, claim, or damage, whether known or unknown, that may arise from my participation in classes or activities provided by Loving Spirit School of Yoga (“Loving Spirit”). I, along with my heirs, executors, administrators, or assigns, expressly release, discharge, and hold harmless Loving Spirit, its owners, officers, employees, instructors, volunteers, landlords, shareholders, directors, successors, heirs, and assigns from any and all claims, demands, liabilities, or causes of action for any injury, loss, or damage sustained as a result of my attendance and participation. Acknowledgment of Risks === I acknowledge that yoga involves physical movements, relaxation, stress management, and relief of muscular tension. As with any physical activity, there is a risk of injury, including serious or disabling injuries, which cannot be entirely eliminated. If I experience any pain or discomfort during a class, I agree to listen to my body, discontinue the activity, and seek assistance from the instructor. I assume full responsibility for any damages that may occur through my participation. Medical Conditions === Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. It is not recommended for certain medical conditions and may not be safe under specific circumstances. By participating, I affirm that a licensed physician has verified my good health and physical condition to engage in such a fitness program. I will inform the instructor of any medical conditions or physical limitations prior to the class. If I am pregnant, become pregnant, or am post-natal or post-surgical, I confirm that I have my physician’s approval to participate. Voluntary Participation === I acknowledge that the decision to practice yoga is solely mine and that participation is at my own risk. I agree to irrevocably release and waive any claims against Loving Spirit School of Yoga, its owners, officers, employees, and instructors. Agreement === I have read and fully understand the above terms of this Waiver and Release of Liability. By clicking “Submit,” I agree to these terms voluntarily and recognize that my consent serves as a complete and unconditional release of all liability to the greatest extent permitted by law in the Province of Ontario.Submit