Student Waiver

Please sign the waiver below in order to proceed with any Yoga, Pilates, or Wellness consultation, class, or private session.

I understand that Yoga and Pilates includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly.

Yoga and Pilates are not not substitutes for medical attention, examination, diagnosis or treatment. Yoga and/or Pilates is not recommended and is not safe under certain medical conditions.

I understand it is my personal responsibility to consult with my Doctor regarding my participation. I have no medical condition which would prevent me from taking part in Yoga or Pilates classes or workshops. I assume responsibility for any risk or injury I may sustain as result of my participation. I affirm that I alone am responsible to decide whether to practice Yoga and/or Pilates.

I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Adriana Kyser, her family, and any volunteer help online or at 3212 Pecan Meadows Dr., Flower Mound, TX 75028, where I might practice Yoga and/or Pilates.

I have read the above release and waiver of liability and understand its contents. I agree to the terms and conditions stated above.
Name*
First Last
Email*
Phone*
Date*
MM slash DD slash YYYY
Signature*
Once you click Submit, please do not close, refresh or click away from this page/form until it loads. You will be redirected to another page when this one is done loading.

You will receive a confirmation of your submission of this form via email. If you do not get redirected and/or you do not receive a confirmation, that means your form did not go through.

Thank you for making sure it loads and redirects you before closing it. Have a great day!