In order to save time and trees, we are asking you to please read, sign and submit this one time electronic waiver and health questionnaire for you and your child/children (if applicable) before the event. These forms will be kept on file and you will not need to fill them out again for future events with us. We look forward to seeing you!

ADULT MEMBER /GUARDIAN DETAILS

ADDRESS

Get Active Questionnaire

1. Have you experienced ANY of the following within the past six months?
2. Do you currently have pain or swelling in any part of your body (such as from an injury, acute flare-up of arthritis, or back pain) that affects your ability to be physically active? *
3. Has a health care provider told you that you should avoid or modify certain types of physical activity? *
4. Do you have any other medical or physical condition (such as diabetes, cancer, osteoporosis, asthma, spinal cord injury) that may affect your ability to be physically active? *
PLEASE READ AND CLICK ANYWHERE YELLOW TO CHECK THE BOX BELOW
Acknowledgement of Risk and Release of Liability
Thank you for helping us save time and trees by completing the online liability waiver and health questionnaire for Steady Effort Yoga & Wellness experiences. We look forward to seeing you! A copy of this waiver has been sent to the email you provided. Please check your Junk Mail folder if you can't find it in your Inbox.
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