The information you provide us below ensures the highest level of safety and care can be met. If you do not inform us of any health, injuries or change in your health status we may not be able to ensure that you get the most out of the program. All information provided by you will remain confidential.
CONSENT AND ACKNOWLEGDMENT
I declare that the answers I have given are true to the best of my knowledge.
I declare that I have not withheld any information that may impact on my ability to participate in the program.
I agree that I will not take any legal or illegal substances before or during the program that may affect my Judgment or physical responses.
I am aware that during my participation in the program certain risks or dangers may occur including physical exertion to which I may not be accustomed, including but not limited to vigorous stretching and postures.
I acknowledge that my participation in the program carries risks. I accept the risks associated with the program and the possibility of personal injury, loss or damage resulting there from and agree to hold Costello Yoga and Fitness, its employees, contractors or agents free from any and all liability, actions, claims and demands of any nature whatsoever.
In entering the program I am not relying on any representations made by or on behalf of Costello Yoga and Fitness but do so of my own free will.
In the event that I suffer injury Costello Yoga and Fitness, have my consent to administer first aid or may arrange such medical treatment as it shall consider necessary for my safety.
I accept that the program is not a substitute for medical treatment.
I agree that it is my responsibility to notify Costello Yoga and Fitness of any material change to the information provided in this registration form including any material change in my medical status.
Date: January 23, 2021