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Yoga Waiver Form Template

Protect Your Yoga Business and Ensure Client Safety

Accidents can happen in any physical activity, and as a yoga instructor, you want to safeguard yourself and your clients. This Yoga Waiver Form Template helps studios and individual instructors clearly communicate the risks associated with yoga, ensuring that clients understand their responsibilities. By using this template, you can streamline the process of collecting signed waivers, promote transparency, and minimize liability while adhering to compliance standards with WCAG-aligned labels. You can easily customize it to suit your specific needs-try out the live template to see how it fits your studio.

Participant full name
Date of birth
Email address
Mobile phone number
Emergency contact full name
Emergency contact relationship
Emergency contact phone number
Do you have any of the following conditions? Select all that apply.
If applicable, please describe any other medical conditions, injuries, or concerns
Are you currently pregnant or postpartum?
Yes
No
Not applicable
Prefer not to say
Have you been advised by a healthcare professional to avoid or limit physical activity?
Yes
No
Do you have any current injuries or pain the instructor should be aware of?
How would you describe your yoga experience?
New to yoga
Beginner
Intermediate
Advanced
I understand that yoga involves physical activity and inherent risks of injury.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I am responsible for monitoring my own condition and will stop if I experience pain, dizziness, or discomfort.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I will inform the instructor of any relevant medical conditions, injuries, or pregnancy.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
To the fullest extent permitted by law, I release and hold harmless the studio, its instructors, and staff from liability for injury or damages arising from participation.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I authorize the provision of first aid and, if necessary, emergency medical care.
Strongly disagree
Disagree
Neither
Agree
Strongly agree
I have read and voluntarily agree to the Yoga Waiver and Release of Liability.
Yes
No
May we photograph or record classes and use your image for promotional purposes?
Yes
No
Prefer not to say
May we contact you about class updates, schedules, and occasional offers?
Yes
No
Preferred contact method
Email
Text/SMS
Phone call
Any of the above
Do not contact
Participant signature
Signature date
Parent/guardian full name (if participant is under 18)
Parent/guardian relationship to participant
Parent/guardian signature
Parent/guardian signature date
Are you under 18 years of age?
Yes
No
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Paper art illustration representing a yoga waiver form for article on Yoga Waiver Form Template FormCreatorAI

When to use this form

Use this form before any yoga class, workshop, private session, or event where participants could strain muscles, lose balance, or practice in heated rooms. It suits studio owners, independent teachers, and retreat hosts who need clear consent, health disclosures, and emergency contacts. Collecting signatures upfront helps you set safety expectations, screen for injuries, and document acceptance of risk. For wellness trips and retreats, pair it with a Travel disclaimer and insurance waiver form to address flights, lodging, and coverage. If you teach youth programs, the Summer camp waiver form can cover guardian consent and pickup details alongside this form. The result: fewer surprises, smoother check-in, and better protection for you and your students.

Must Ask Yoga Waiver Questions

  1. Do you have any current injuries, medical conditions, or pregnancy we should know about?

    Knowing this lets you suggest modifications, avoid triggers, and reduce risk. It also shows you took reasonable steps to tailor instruction.

  2. Do you understand and agree to assume the inherent risks of yoga practice and release the instructor and studio from liability?

    This clarifies consent and sets legal expectations in plain language. For broader coverage across activities, review the Participation waiver and release form to align your wording.

  3. Who is your emergency contact and what is their phone number?

    Quick access to a contact speeds help if a student feels faint, dizzy, or is injured. It also reassures participants that you have a plan.

  4. Are you at least 18 years old? If not, do you have a parent or guardian giving consent?

    Age and consent determine if a minor needs a guardian signature. This prevents unenforceable agreements and protects your program.

  5. Do you consent to photos or video during classes for marketing or training?

    Clear media consent avoids disputes about using a student's image. It also lets you segment those who opt out so staff can respect their privacy.

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