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Date of Birth *

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Address *

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Have you practiced Yoga before? *

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Do you have any medical conditions or injuries (past and present included)? *

Yes

No

(For ladies only) Are you currently pregnant?

Yes

No

Please take some time to read through the following indemnity agreement *

With your registration, you hereby agree to all of the below: 1. I understand and acknowledge that participation in this instruction and training is voluntary and I assume all risk associated with it. I further agree to hold harmless Yoga Seeds, and its agents and employees (collectively the “Instructors”) from any cost, damage, injury, or any other claim resulting from any participation in or instructional training provided at these yoga classes, programs, retreats or workshops. 2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the yoga classes, programs, retreats and workshops provided by Yoga Seeds. I further understand and agree that none of the information provided is medical advice. I understand and agree that my participation and use of this information is at my own risk. 3. I represent and warrant that I am physically fit and I have no condition that would prevent my participation. 4. I, for myself and my heirs or assigns, agree to hold the Instructors harmless, and I agree to indemnify the Instructors for any costs or expense they may incur as a result of any liability or claim described above. 5. I agree to all Yoga Seeds Booking Terms & Conditions and have read it in detail.

With my registration, I hereby agree to all of the above.