Sunny Souled Waiver & Enrollment Form (individual)

Welcome to Sunny Souled Studio,

Thank you so much for taking the step to booking your first class! The following form is intended to help you get the most out of your experience with us.

First name

Last name

Date of Birth

Phone Number

Address

Emergency Contact Name and Number

Professional Disclosure & Release for movement classes

All exercise involves a risk of injury. By choosing to participate in Sunny Souled classes you voluntarily assume a certain risk of injury. The following guidelines will help you reduce your risk of injury:

listen to and follow instructions carefully
breathe smoothly and continuously as you move and stretch
do not hold your breath or strain to attain any position
work gently, respecting your body's abilities and limits
do not perform postures or movements that are painful
ask if you are unsure how to perform a certain movement
pregnant women must consult their health care provider before enrolling in a class

I understand

2. It is always advisable to consult your doctor before embarking upon any exercise program. Please honestly complete the personal health history questions below and inform the instructor of any health conditions that could be affected by exercising.

I understand.

3. Awareness is fundamental to the practice of movement and exercise. It is your responsibility as a student to monitor each activity and determine whether it is appropriate for you to participate. You remain primarily responsible for your safety and well-being.

I understand.

Personal Health History

1. Do any of the following health concerns apply to you?

2. If you selected any of the above concerns please provide details.

Long answer

3. I take full responsibility for my health during classes including any injuries. I will notify the instructor of any medical changes which may occur.

I understand

4. As a qualified professional your instructor is responsible for providing competent instruction. Your instructor is not responsible for ensuring the safety of students beyond providing competent instruction. By completing this form, you hereby release your instructor from any and all liability for injuries that are not directly and proximately caused by professional negligence.

I understand

Photography Release

I understand that photos, films, videos or audio recordings are sometimes taken of Sunny Souled Studio attendees for promotional purposes.

I agree to allow your image, recording or likeness to be used for any legitimate purpose by Sunny Souled.

Date

Signature