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Participant Waiver Form

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Please take a moment to fill out the waiver form.
To be completed by each participant before the session.

Section 1 - Participant Details

Section 2 - Emergency Contact

Section 3 - Health Screening.

Please answer the following questions honestly. This information helps our instructors provide appropriate modifications and ensure your safety during classes.

Current Physical Conditions.

1. Are you currently pregnant or have you been pregnant in the last 6 months?
2. Have you had any injuries or surgeries in the last 12 months?
3. Do you currently have any of the following? (Tick all that apply) Required

Medical Conditions

4. Do you have any of the following cardiovascular conditions? Required
5. Do you have any respiratory conditions?
7. Are you currently taking any medications that may affect your physical performance?
8. Have you been advised by a medical professional to avoid or modify physical exercise?
9. How would you describe your current fitness level?

Section 4 - Understanding Risk & Informed Consent

10. I understand and acknowledge that: Required

Section 5 - Liability Acknowledgment 

11. I understand that whilst Yukti Limited maintains professional liability insurance and takes reasonable care to provide safe classes, I participate at my own risk and accept responsibility for any injuries or adverse effects that may result from my participation, except where caused by negligence on the part of Yukti Limited, its instructors, or staff. I understand that Yukti Limited cannot be held liable for injuries arising from my failure to disclose relevant health information, my failure to follow instructor guidance, or risks inherent to physical activity that I voluntarily assume. Nothing in this waiver excludes or limits Yukti Limited's liability for death or personal injury caused by negligence, fraud, or any other liability that cannot be excluded under UK law. Required

Section 6 - Data Protection & Privacy

12. Under UK data protection laws (UK GDPR), we need your consent to process your health information. By completing this form, you are providing health information which we will collect, store, and process for the following purposes:

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  • Assessing your suitability for classes

  • Providing appropriate modifications during sessions

  • Ensuring your safety during physical activities

  • Emergency medical situations

  • Insurance and legal compliance

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Your information will be shared with instructors teaching your classes to ensure safe delivery, and may be shared with emergency services, healthcare professionals, or insurance providers if necessary.

You have rights to access, correct, or request deletion of your personal information as outlined in our Privacy Policy at www.yukti.health

Section 7 - Participant Declaration 

13. I declare that:

  • I am 18 years of age or older

  • All information provided in this form is true, complete, and accurate

  • I understand that yoga and movement practices involve physical activity with inherent risks

  • I will inform instructors of any injuries or health changes, practice within my limitations, and stop immediately if I experience pain or discomfort

  • I have read and agree to Yukti Limited's Terms & Conditions

Thanks for submitting!

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