Liability/Waiver Form (Wall Rope Yoga)

Wall Rope Liability Waiver

First Name

Last Name

Do you have a doctor’s permit to participate in intense physical activities?

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Emergency Contact

We appreciate your Liability Waiver form submission, for your Wall Rope Yoga practise. This will be a one-time submission only. Once again, we thank you for your kind action.