Waiver – Vimla | Iyengar Yoga Teacher

Please complete and submit this waiver before attending any of Vimla’s classes or workshops.

I am in good health and have no illnesses or injuries that would preclude me from participating in physical activities, specifically yoga classes.

I have been advised and instructed to consult with and obtain the advice and approval of a physician before starting or varying any exercise regimen.

I freely and voluntarily assume all risks inherent in participating in yoga classes.

I waive any and all claims, liabilities and damages of any kind or nature which may arise against Vimla Maharaj Banks as a result of my participation in any yoga class.

IT IS MY INTENTION TO EXEMPT AND RELIEVE VIMLA MAHARAJ BANKS FROM LIABILITY FOR PERSONAL INJURY OR PROPERTY DAMAGE CAUSED BY NEGLIGENCE OR OTHERWISE, TO THE FULL EXTENT ALLOWABLE UNDER APPLICABLE LAWS. I AGREE THAT UNDER NO CIRCUMSTANCES WILL I PROSECUTE OR PRESENT ANY CLAIM FOR PERSONAL INJURY OR PROPERTY DAMAGE AGAINST VIMLA MAHARAJ BANKS ARISING OUT OF OR CONNECTED IN ANY WAY WITH MY PARTICIPATION IN OR PRESENCE AT YOGA CLASSES AT ANY TIME.

6. If you have any medical problems (back, spine, neck, joint related, heart, blood pressure, surgeries, seizures, headaches, dizziness, etc. – please be specific) or take medications, please list them here:

First Name

Last Name

ACCEPTANCE OF TERMS

I certify that I HAVE READ AND UNDERSTAND this Release and Waiver. I further certify that it is my intention that this Release and Waiver is binding not only on me, but also my heirs, administrators, executors, successors and assigns. I am signing this Release and Waiver voluntarily and understand that it is legally binding.