YOGA CLASS

Thank you for your interest in Healthworks Yoga Classes. Please read and complete the following questionnaire and sign the form below.
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Full Name
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Email address
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Is this your first experience with this type of class?
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Are you currently taking any prescribed medication?
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Please specify medication
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Do you have any of the following conditions?
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Other conditions
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DISCLAIMER AND LIMITATION OF LIABILITY
Healthworks’ activities and services, and all information and products provided in the course of them, are designed to assist with your general wellbeing. Those activities, services, information and products are not intended as a substitute for professional medical advice, diagnosis or treatment. If you are a Consumer under the Australian Consumer Law, you are entitled to certain consumer rights as provided by law that cannot be excluded.

Otherwise, Healthworks accepts NO liability of any kind to you or anyone else for any personal injury, damages or loss whatsoever (including direct, indirect, incidental, special or consequential damages) arising out of our activities or services or any reliance upon or use of the information or products provided during the activities or services, and Healthworks expressly disclaims all express and implied warranties to the maximum extent permitted by law. You acknowledge that your participation in the activities or receipt of the services and the use of any information or products provided during those is at your sole discretion and risk.

You should consult your medical practitioner for all required medical advice, diagnosis or treatments. Healthworks’ representatives do not diagnose conditions or treat them medically, and it is therefore your responsibility to seek medical attention and inform the representative of any change in your health status. It is also advisable to consult your medical practitioner before undertaking any activities, receiving services or commencing complementary therapies.

You warrant that any information provided by you on this form is true, complete and correct and that you have read and understood this disclaimer and limitation of liability.

By signing this, you acknowledge that you have read this Disclaimer and Limitation of Liability.(*)
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Consent
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Date
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