Medical History and Release Agreement

Darcie Warden Yoga Therapist/Phoenix Rising Yoga Therapy

Pleas check any conditions that apply to you:
Are you experiencing any COVID or flu symptoms?

PLEASE NOTE: Care is taken by the facilitator to ensure your well-being and safety. However, as a student of Yoga, it is important that you realize your responsibility to yourself; therefore it is necessary to sign the following:

AGREEMENT: I understand that the instructions given throughout the Phoenix Rising Yoga Therapy Group Program are intended only as a guidance, and realize it is my own responsibility to adjust my practice according to my limitations to ensure that no personal injury occurs. I hereby declare that I take full responsibility for myself during this program.

Thanks for submitting!