Waiver & Media Release – Kemetic Yoga Community Portal Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *City, State, Zip/Postal Code *Country *Phone Number *Date of Birth *Do you have any injuries or health conditions we should know about that would affect your ability to practice Yoga or participate in physical activity: *YesNoIf yes, please list conditions. It is your responsibility to inform the instructor of your limitations before class begins.I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the classes offered at YogaSkills Kemetic Yoga. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the yoga classes, programs, or workshops. I understand the risks associated with the activities offered by YogaSkills Kemetic Yoga and I agree to follow all instructions so that I may safely participate in classes, workshops, or other activities. I hereby WAIVE AND RELEASE YogaSkills Kemetic Yoga LLC, its owners, officers, employees, and instructors from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered at the facility. In taking part in the yoga classes, workshops, or other activities at YogaSkills Kemetic Yoga, I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes, workshops, or other activities. I have read the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above. Please practice mindfully and enjoy the many benefits of practicing yoga with YogaSkills Kemetic Yoga. *By signing this waiver, I agree to the above terms and conditions. I give Kemetic YogaSkills permission to photograph me while participating in live virtual classes and use my image in marketing and advertising. *YesNoName *FirstLastDate *Submit