Yoga Studio Class Signup
Signup form for a yoga studio class, workshop, or drop-in — student and (for minors) parent details, class and schedule, experience level, a health/injury disclosure, pricing, an assumption-of-risk waiver, and signature.
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Still Point Yoga
YOGA CLASS SIGNUP & WAIVER
Class: Vinyasa Flow (all levels)
Schedule: Mondays & Wednesdays 6:00–7:00 PM Location: 88 Willow Street, Studio 2, Springfield
1. STUDENT
Name: Jordan Rivera Age: 34
(Adult student)
Phone: +1 217 555 0142 Email: jordan.rivera@example.com
Emergency contact: Sam Rivera — +1 217 555 0188
Experience level: Some experience
2. HEALTH & INJURY DISCLOSURE
No major injuries. Tight hamstrings; occasional lower-back sensitivity — will modify forward folds. Not pregnant.
I understand yoga is physical activity, not medical care. I will tell the
instructor about injuries, conditions, or pregnancy, will work within my own
limits, and will modify or skip any pose as needed. I have consulted a
physician if I have any condition that exercise could affect.
3. PRICING & PAYMENT
$20 drop-in · $150 ten-class pack (90 days) · $120/month unlimited
Payment: Online
4. ASSUMPTION OF RISK & RELEASE OF LIABILITY
Yoga carries an inherent risk of injury. I participate voluntarily and at my
own risk and certify I am physically able to participate. To the fullest
extent permitted by law, I RELEASE AND HOLD HARMLESS the studio, its owners,
instructors, and staff from claims arising from ORDINARY NEGLIGENCE in
connection with classes, workshops, and use of the space and props. This
release does NOT apply to gross negligence or willful misconduct, and does
not apply where prohibited by state law (e.g., New York). I consent to
emergency medical care if I am injured and cannot be reached for consent.
5. GOVERNING LAW
Governed by the laws of the State of Illinois.
SIGNATURE
Student: _______________________________ Date: ______________
Jordan Rivera
About this template
A yoga class signup form does double duty: it enrolls the student and captures the **assumption-of-risk waiver** plus a **health and injury disclosure** that lets instructors keep students safe. Yoga looks gentle, but injuries happen — overstretching, wrists in weight-bearing poses, necks in inversions, and special caution in **pregnancy** — so the disclosure asking about injuries, conditions, and pregnancy is the most useful field on the form, and the "yoga is not medical care; work within your own limits; consult your physician" language is what protects the studio while genuinely guiding the student. The other essentials are the **class and schedule**, the **experience level** (so the instructor can offer modifications), an **emergency contact**, and clear **pricing** — drop-in, class pack, or unlimited monthly. Two legal points matter. **Minors**: a student under 18 cannot be bound, so a parent or guardian signs on their behalf, and even then a parent's pre-injury waiver of the child's own claims is limited in some states, which is why the release reads "to the fullest extent permitted by law." **The waiver itself** is enforceable for ordinary negligence in most states but never for gross negligence or willful misconduct, and is **void in a few** (New York's General Obligations Law §5-326 voids waivers for recreational facilities) — and it is not a substitute for the studio carrying liability insurance. Keep the form to one page, make the health disclosure easy to fill in, and confirm the waiver language against your state before relying on it.
When to use it
- Signing up a student for a yoga class, workshop, or drop-in.
- Collecting a health/injury disclosure and experience level.
- Capturing an assumption-of-risk waiver and emergency contact.
- Recording pricing (drop-in, class pack, or membership) and payment.
What to include
- Student (and parent for minors) contact details.
- Class, schedule, and the student's experience level.
- Health/injury disclosure (injuries, conditions, pregnancy).
- Pricing and payment method.
- Assumption-of-risk / liability waiver and signature.