SOUL2SOLE FITNESS CONTACT & CONSENT FORM

PERSONAL DETAILS

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EMERGENCY DETAILS

GENERAL HEALTH

Do you have any medical conditions that I should be aware of, please tick any which may apply. *
 

EXERCISE HISTORY

What areas of your health are you wanting to work on, please tick which is applicable *
 

CONSENT TO YOGA/DANCE AGREEMENT

I agree to follow the safety instructions of my instructor and to inform them immediately should I have any pain or concerns during Yoga/Dance.  I agree that I do not have any injuries, chronic problems or physical ailments which would prevent me from safely undertaking Yoga/Dance in a class environment and that I take this class at my own risk.  I understand that in a group class I must take responsibility for working at my own level.  I will self-regulate my ability to perform each exercise.  I agree not to hold the Yoga/Dance Instructor or Soul2Sole Fitness liable for any injuries that may incur from attending Yoga/Dance.
Please sign this agreement *
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