In submitting this form acknowledge that I have been informed of the need to obtain a physician’s examination and approval prior to beginning this or any exercise program.  I fully understand that the program may be strenuous and choose to participate completely voluntarily.  I accept all responsibility for my health and any resultant injury or mishap that may affect my well being or health in any way.  I hold harmless and judgement proof any persons with this is any responsibility.

I acknowledge that I have voluntarily chosen to participate in a program of progressive physical exercise which can enhance the musculo-skeletal and cardio-respiratory systems.  I acknowledge being informed of the possible strenuous nature of the program and the potential for unusual, but possible, physiological results including, but not limited to, abnormal blood pressure, fainting, heart attack or death.  I assume all risk for my health and well-being.  I understand that questions about exercise procedures and recommendations are encouraged and welcomed.  I am fully aware that I am encouraged to ONLY do postures that give me joy, that I am comfortable with and pain-free.