Emergency Contact, Medical Details & Yoga Acknowledgement Form

Please reply to your email with your emergency contact details and doctor information. Your reply will be treated as confirmation that you have read and understood this information.

1. Emergency Contact Details:

- Name:

- Relationship:

- Phone Number:

2. Doctor / Medical Professional Details:

- Name:

- Practice / Clinic:

- Phone Number:

3. Yoga Participation & Safety Statement:

·       Gentle Yoga Disclaimer:

This session involves gentle yoga designed to support wellbeing, mobility, and relaxation. Participants are encouraged to listen to their own bodies at all times, move at a pace that feels right for them, and stop immediately if they experience any discomfort or pain.

·       Responsibility & Liability:

By taking part, participants acknowledge that they are responsible for their own health and wellbeing during the session. The instructor cannot be held liable for any injury or discomfort that may occur as a result of participation. Participants should consult a medical professional if they have any concerns before attending.

4. Acknowledgement (No Signature Required):

Please reply to this email with your emergency contact details and doctor information. Your reply will be treated as confirmation that you have read and understood this information.