Contact us



I, _______________________________________ , hereby agree to the following:

That I am participating in the Yoga Classes, or Workshops offered by The Balance Group, Inc. during which I will receive information and instruction about yoga and lifestyle. Awareness is fundamental to the practice of yoga. It is my responsibility as a student to monitor each activity and determine whether it is appropriate for me to participate. All exercise programs involve a risk of injury. By choosing to participate in these programs, I voluntarily assume responsibility of injury. 

I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Yoga Classes, or Workshops. It is my responsibility to ascertain that there is no medical reason to prevent my full participation in the Yoga Classes, or Workshops. I acknowledge that the Balance Group, Inc. has not and will not render any medical services, including medical diagnoses of my physical condition. I understand that The Balance Group, Inc does not offer programs for pregnant women at this time.

I agree that The Balance Group, Inc., its officers, employees and agents shall not be liable for any claim, demand, cause of action of any kind whatsoever for, or on account of personal injury, property damage or loss of any kind resulting from or related to my use of the facilities or participation in any program, exercise or activity within or without the premises, and I agree to hold The Balance Group, Inc. harmless from same. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

___________________________ ____________________
Signature of participant


If participant is under 18:
As legal guardian of:______________________________
I consent to the above terms and conditions.
Signature of parent/guardian of participant          Date
Witnessed by: __________________________

Intake form









Copyright 2000-2005 The Balance Group, Inc.