LIABILITY WAVIER | Very Wendy Yoga

Liability Waiver

Please fill out and submit prior to attending your first class.

First Name

Last Name

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program. I fully release intructor Wendy DeFeudis and the Town of Dennis for any and all liability due to my participaton in the beach yoga classes.

See you on the mat!

Very Wendy YOGA

East Dennis, MA
02641

Beach yoga + Pilates+ meditation
ON CAPE COD

Liability Waiver