All ages under 18 MUST HAVE a liability waiver signed by their parent or legal guardian. EVERYONE MUST HAVE a waiver initialed and COMPLETELY filled out. Ages 18+ must provide a valid drivers license.

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:

If you have any physical limitations, they could be aggravated by exercise

It is your responsibility to inform the instructor of your limitations before class begins.

1. I represent and warrant that I am in good physical health and do not suffer from any medical condition which would limit my participation in the classes offered at RosaYoga. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any of the yoga classes, programs, or workshops. I understand the risks associated with the activities offered by RosaYoga and I agree to follow all instructions so that I may safely participate in classes, workshops, or other activities.

2. I hereby WAIVE AND RELEASE RosaYoga, its owners, officers, employees, and instructors (all for purposes herein referred to as “RELEASEES,” from any claim, demand, cause of action of any kind resulting from or related to my participation in the programs offered at the facility. In taking part in the yoga classes, workshops, or other activities at RosaYoga, I understand and acknowledge that I am fully responsible for any and all risks, injuries, or damages, known or unknown, which might occur as a result of my participation in the classes, workshops, or other activities.

3. I hereby assume full responsibility for and risk of bodily injury, death, or property damage that may be due to negligence of the Releasees or otherwise while I am in or upon the premises and/or while yoga programs or classes are offered by Releasees.

4. I have read and voluntarily sign the above release and waiver of liability and fully understand its content. I am legally competent to sign and voluntarily agree to the terms and conditions stated above.

5. The tuition paid herewith and such registration fees paid hereafter are Non-refundable yet are transferable.

Please practice mindfully and enjoy the many benefits of practicing with RosaYoga.


By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.