Yoga Waiver

All personal information will be kept private. Phone numbers and emails will not be used for promotional purposes.

  • MM slash DD slash YYYY
  • I understand that yoga and all activities and instruction provided by Nadia Zerka includes, but is not limited to, physical movements, stretching, breathing exercises, strengthening exercises, meditation techniques, and hands-on physical adjustments for the purpose of improving alignment or understanding of movement; and that I may decline any of these options. I am participating in classes or services during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program, including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities. I understand that Nadia Zerka is not privy to any medical concerns I may currently have or have suffered in the past and that I am responsible for ensuring I am safely participating in the activity. I understand that if the activity I am engaged in causes irritation, discomfort, or pain, I will refrain from continuing the activity until it is safe for me to do so. In further consideration of being permitted to participate in the yoga classes, I knowingly, voluntarily, and expressly waive any claim I may have against the instructor, the owner, or the leaseholder of the building for injuries or damages that I may sustain as a result of participating in classes or workshops held by Nadia Zerka.
  • I give Nadia Zerka permission to take instructional and promotional pictures and videos of myself during class time. I give permission to the Nadia to use photos/videos of myself in promotional materials and digital marketing supporting the community aspect of this practice.