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Emergency Contact Form

YOUR OWN DETAILS:

YOUR EMERGENCY CONTACT DETAILS:

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We’ll contact this person only in case of emergency.

 

Yoga Center Premagave,LLC 

Client Registration, Agreement of Release and Waiver of Liability 

Please Read Carefully: By my participation in a yoga therapy, yoga program(s)/ yoga session (s) with Giedre Avellino/ Yoga Center Premagave, LLC, I agree to take full responsibility for not exceeding my limits in practice of yoga and for any injury that I might suffer in the practice of yoga. It is my responsibility to ascertain that there is no medical reason to prevent my participation and consult with a physician prior to and regarding my participation in a yoga therapy program (s) (session (s)). I understand that Yoga Therapy sessions may include touch, assisted yoga postures, and client centered dialogue.  I understand that no guarantee or promises of cures have or will be made to me and that any benefits which I experience come from within my own awareness and self-knowledge. Yoga is not a substitute for medical attention, examination, diagnosis or treatment.  In consideration of Giedre Avellino/ Yoga Center Premagave, LLC offering of yoga therapy, I waive any claim that I might have at any time for injury of any sort against Giedre Avellino/ Yoga Center Premagave, LLC or any person or entity in any way involved there with. I have carefully read the release, fully understand and agree to the above.

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

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©2020 Serene Path to Enlightened You. Giedre Avellino  founder of Yoga Center Premagave 

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