top of page


Thank you for choosing QMY as your wellness space, we are excited to have you join us.  Please carefully read over and fill out the health waiver below before joining your next class.



  • Facebook
  • Twitter
  • LinkedIn
  • Instagram

QMY HEalth WAiver

QMY Health Waiver

In order to join any of our classes or events participants must fill out this form and submit it prior to the session.

By filling out this form and submitting it, I hereby acknowledge and agree that I am participating in classes or services during which I will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any physical fitness program, including yoga. I represent and warrant that I have no medical condition that would prevent my participation in physical fitness activities. In consideration of being permitted to participate in the yoga classes, I agree to assume full responsibility for any risks, injuries or damages, known and unknown, which I might incur as a result of participating in the program. In further consideration of being permitted to participate in the yoga classes, I knowingly, voluntarily, and
expressly waive any claim I may have against Quiet Mind Yoga, the instructor, the owner, and the business and/or owner of the location where the class is held for injuries or damages that I may sustain as a result of participating in classes or workshops held by Quiet Mind Yoga. Furthermore by participating in today's class you agree to have Quiet Mind Yoga take photos and or video of you and utilize them for their business

Thanks for submitting!

bottom of page