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Sisters of the Sun

Black Lotus Participant Intake Form

Please submit this intake information prior to your Black Lotus session. The information provided will be kept strictly confidential and is solely for informational purposes for the facilitators. Thank you!

Name *
Contact Number *
Contact Number
Emergency Contact *
Emergency Contact
Emergency Contact Number *
Emergency Contact Number
If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day. I, the undersigned, understand that yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including yoga. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the extent of strain or pain. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. By selecting yes below I agree to the aforementioned.

Thank you in advance ! We look forward to having you join us on the mat.

Earlier Event: April 25
Tuesday Yoga Check-In