Antenatal Yoga Release Form

Go Yoga Prenatal Yoga Release

  • Please Note: If you answer yes to any of the above marked with an asterix *, I require a note from your health practitioner to allow you to participate in any yoga or fitness related activities. You are not permitted to attend a Go Yoga class until clearance is obtained.
  • Help Jackie tailor this class to fit you better:
  • Informed Consent:

    GO YOGA recommends that health approval be obtained before beginning an exercise program.

    • I understand that GO YOGA will not be held responsible for any neglect on my behalf to seek medical approval prior to commencing a Yoga practice. I also understand that classes taught at GO YOGA are not meant to replace any form of medication or medical treatment that I am currently seeking now or in the future.
    • I have been informed and understand that strength, flexibility and cardio vascular exercise, including Yoga, are potentially hazardous activities. I also have been informed and understand that these activities involve a risk of injury and that I am voluntarily participating in these activities with full knowledge and appreciation of the dangers involved.
    • I have read, understand and agree to follow the GO YOGA studio etiquette, policies and procedures as well as the conditions of classes.
    • I understand that it is essential to book into any given class to secure a place. If I then cancel with less than 36 hours notice prior to the scheduled class or fail to show I will be given grace on the first occasion, but repeated late cancellations or no-shows will result in my paying the cost of the class.
    • I declare all of the information provided by me to be correct to my knowledge and have not withheld any information that may result in any consequences.
    • I agree to advise Jacqueline Teusner of GO YOGA in writing if any of the information provided by me changes.