Medical Questionnaire

I hereby agree to the following:

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1. That I am participating in the yoga & Pilates classes offered by Nidd Valley Physio, during which I will receive information and instruction or other services offered pertaining to yoga, Pilates and health. I recognise that these activities require physical exertion which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved.

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2. I understand that is my responsibility to consult with a GP prior to and regarding my participation in classes, health programs, workshops or services. I represent and warrant that I am physically fit and I have no medical conditions which would prevent my full participation in the classes, health programs, workshops or services.

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3. In consideration of being permitted to participate or receiving services, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program or receiving any services.

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4. In further consideration of being permitted to participate in classes, I knowingly, voluntarily and expressly waive any claim I may have against Nidd Valley Physio for injury or damages that I may sustain as a result of participating in the program or from receiving any services.

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to terms and conditions listed above.