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Date of Birth
If you may potentially have a minor (18 or under) join your zoom session, use the yoga videos and provided sequences, please provide their name(s) and age. Signing this form will act as a release for all parties named in this form.
I note that LCY refers to LoveCookYoga. I understand that yoga involves physical movement as well as the opportunity for relaxation, stress reduction and releif of muscular tension. I understand, as in the case of any intense physical activity, the risk of serious injury is always present and cannot be eliminated. Regardless of the mode I decide on, LCY zoom yoga, LCY Yoga Videos or LCY Yoga sequences, if I experience any pain or discomfort, I will stop immediately. If I am not breathing smoothly, I will stop immediately.
The yoga offered by LCY cannot be substitute for medical attention. I have checked with my doctor and don't have any medical conditions that will interfere with my yoga practice.
I affirm that I will engage in yoga practices responsibly and agree to irrevocably release and waive any claim that I have now or may have hereafter against Shiuli Mukhopadhyay or LoveCookYoga (LCY).
I declare that the information I have provided is accurate & complete.
Thanks for submitting!
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