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Please fill in the below before you attend your first class or retreat or when your medical circumstances change. . This form is used to help me deliver the best experience of yoga possible. This information will be accessible only to NCyoga.


Class Waiver - terms and conditions

Before attending any class or event by NCyoga : For your safety, please complete the form below  and read the waiver at the bottom before signing  

Please let me know of any mental or physical illness, ailments or injuries:

Agreement of Release & Waiver of Liability

NCyoga requires all clients to  fill in an registration form and sign this Waiver prior to participation in classes. 


Before Starting any type of exercise or physical activity you should always consult your doctor.

Waiver, informed consent, and covenant not to sue.

I confirm that all the information above is correct, and agree that if my medical circumstances change at all I will recomplete a form. 

I have volunteered to participate in an exercise class with NCyoga.  I do here release and discharge and hereby hold harmless NCyoga and Nancy Campbell for any and all claims, demands, damages, rights or causes of action, present and future, arising out of or connected with my participation in any class or activity with NCyoga. including any injuries resulting from them.

This waiver and release from liability includes, without limitation injuries which may occur as a result of my use of all amenities and equipment at Buckland Park Lakes or premises and my participation in any activity class program or instruction.

This waiver also applies to any equipment that may malfunction or break, what you may consider as negligent instructions or supervision and any slipping or falling.

Assumption of Risk

To the best of my knowledge, I am in good physical condition and have no disease and/or condition, physical health limitation, health concerns or injury that would be aggravated or would cause of any injury sustained, before, during or as a result of my participating in activities related either directly and/or indirectly to undertaking a class with NCyoga and Nancy Campbell .

I recognise that exercise might be difficult and strenuous and there could be dangers inherent in exercise for some individuals.  I acknowledge that the possibility of certain unusual changes does exist.  These changes include abnormal blood pressure; fainting; disorders in heartbeat; heart attack; and, in rare instances death.

I understand that as a result of my participation in an exercise or other program, I could suffer an injury or physical disorder. That could result in my becoming partially or totally disabled and incapable of performing and gainful employment or having a normal social life. 

I recognise it is my responsibility to seek examination by a doctor prior to the involvement in any exercise or physical programme.  If I have chosen not to obtain a doctor’s permission prior to beginning this exercise or physical program I hereby agree that I am doing so at my own risk. 

In any event, I acknowledge and agree that I assume the risks associated with any and all activities and/or exercises in which I participate. 

I acknowledge that if I am pregnant, it is my responsibility to seek advice from my doctor regarding participation in exercise or physical activity.

I acknowledge that in the event of bringing my child to the lake, I take full responsibility for them and their actions, and for supervising my child and respective fellow clients. 

I acknowledge and agree that no warranties or representations have been made to me regarding the results I will achieve from this program. I understand that results are individual and may vary. 

I acknowledge I have read through this waiver and release and fully understand the release of liability. I am waiving any right I or my successors might have to bring legal action or assert a claim against NCyoga.. Nancy Campbell 

By submitting this form you have agreed to the above conditions

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