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Yoga Retreat Health Questionnaire

Vital Yoga retreat health, medication and allergy information

If you’ve been directed here, then your retreat with us is just around the corner. Please take your time to look through the following questions and answer them as clearly and as fully as you can. We need to know how to best nourish and support you throughout your Yoga retreat, so please tell us everything we need to know, and be confident that all of the information you share with us is handled in the strictest confidence. If there’s something that you’d prefer to mention one-to-one, then feel free to get in touch with us directly as well.

 

 


Waiver of Liability and Informed Consent Release for Yoga practice on retreat

I am participating in a programme of instruction in Yoga classes offered at this retreat. I have been advised and I understand that participation in Yoga, like any physical conditioning or exercise programme presents some unavoidable risk of injury, especially to people who have pre‐existing injuries, illness or medical disabilities.

I recognise that many changes may occur as a result of these Yoga lessons, including possible short‐term aggravation of some symptoms, feelings of tiredness, light‐headedness, increased energy, mood changes etc. 

I also understand that a medical evaluation is advisable before commencing anyprogramme of physical conditioning or exercise.

I have and will continue to keep my Yoga instructor on the retreat informed of any physical condition or disability, which would prevent or limit my participation in an exercise programme.

I acknowledge that, although the programme may have substantial physical benefits, my Yoga instructor on the retreat is not engaged in diagnosing or treating medical diseases or deficiencies.

I expressly assume all risks of my participation in this Yoga programme and waive any claim, which I might otherwise bring against my Yoga instructor on this retreat or against the operators of the retreat as a result of injuries from or relating to my participation in this programme.

I confirm that all the information provided in this questionnaire is true to the best of my knowledge and I am not aware of any reason why I should not participate in this retreat or these classes.

By signing below I agree to the above:

 

Thank you so much for helping us gather all the information we need to look after you in the best way we can.


Carry on playing out

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