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Health Waiver

Please read & fill out the following form.

Instructor: Makenna Kane, 200-Hour Registered Yoga Teacher (RYT), CPR Certified Business Name: MakinBalanceClass Format: Online (live/recorded) & In-Person Sessions

Acknowledgment of Risk

I, the undersigned participant, acknowledge that yoga involves physical movement, stretching, breathing techniques, and relaxation exercises. I understand that participation in yoga classes, whether online or in person, may carry the risk of physical injury, discomfort, or other health complications. I affirm that I am in good physical health and capable of participating in yoga. I agree to take full responsibility for monitoring my condition during class and to practice at a level appropriate to my abilities. I will notify the instructor of any relevant health concerns or limitations prior to participation.

Assumption of Responsibility

I voluntarily choose to participate in yoga classes with Makenna Kane / MakinBalance. I assume full responsibility for any risk, injury, illness, or damages that may occur to me as a result of my participation. I understand that the instructor is not a licensed medical professional and that yoga instruction is not a substitute for medical advice, diagnosis, or treatment. I further acknowledge that: - Online classes may limit the instructor’s ability to provide real-time corrections. - In-person classes may involve verbal cues, demonstrations, or hands-on adjustments. I consent to hands-on adjustments only when I have provided clear and explicit permission. - It is my responsibility to listen to my body and rest or modify as needed.

Release of Liability

I hereby release, waive, and discharge Makenna Kane / MakinBalance, its instructors, employees, agents, and representatives from any and all liability, claims, demands, or causes of action arising from or related to my participation in yoga classes, whether occurring online or in person. This release extends to any injuries, accidents, or damages that may occur, including but not limited to muscle strains, sprains, falls, equipment malfunction, or unforeseen health events.

Indemnification

I agree to indemnify and hold harmless Makenna Kane / MakinBalance from any claims, damages, or expenses, including legal fees, that may arise from my participation in these classes.

Consent for Online Sessions

I understand that online yoga classes may involve the use of video conferencing or recordings. By participating, I consent to the use of these platforms and acknowledge that MakinBalance is not responsible for technical issues, interruptions, or data privacy breaches beyond their control.


Date of birth
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Have you been hospitalized in the last 12 months?
No
Yes
Prefer not to disclose
Are you suffering from a medical condition, illness or injury?
No
Yes
Prefer not to disclose

Acknowledgment and Agreement

I have read this waiver and fully understand its terms. I voluntarily agree to the terms and conditions stated above and acknowledge that by signing this form, I am giving up certain legal rights.

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