New Student Registration & Information Form

Do any of these health conditions apply to you?
(Select all that apply. For multiple selections, hold down the '+ CTRL' key.)

Please read carefully and tick the box below. 以下的免責聲明將會以英文作實。請仔細地閱讀後簽意。
I will fully inform the teacher before every class of any recent soreness, illness, injury, surgery or commencement of pregnancy. I understand that the instructions given throughout classes are intended only as guidance. It is therefore my own responsibility to adjust my practice according to my limitations to ensure that no personal injury occurs. I hereby declare that I take full responsibility for myself during classes. I indemnify and will keep LumaFlow Yoga indemnified from and against all claims for any injury, loss and damage incurred or suffered directly or indirectly in connection with or arising from the class. 

Date of Agreement