Private Waiver

Yoga Waiver & Release Form for Private Clients

Terms & Conditions

Yoga provides great benefits, but only you know your own body and limits. Please consult your physician with any questions or concerns before starting this or any other exercise program. Not all exercises are suitable for all persons.
Use awareness, common sense and caution while practicing. Jamie Walton, dba The Bucolic Yogi, is not liable for any injury, accident, or health impairment as a result of your participation in these classes.
Payment is expected at time of service. Payments may be made via cash, check, Zelle, or Venmo. Paypal is also accepted but not preferred due to the fees.
Sessions cancelled within 24-hours may be subject to a fee.

COVID Protocol

Sessions may be cancelled without penalty if either Jamie or the client are experiencing any COVID-19 symptoms within the 24-hour cancellation window.

Please complete all fields below and click "submit." *

I have read, fully understand, and agree to the above Terms & Conditions and COVID protocol.

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Name *

First

Last

Birthdate *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email Address *

Phone Number *

Emergency Contact *

First

Last

Emergency Contact Phone Number *

Emergency Contact Email Address *

Submit