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New students

Registration & Waiver Form

Every student must complete this form once before their first class. It takes about three minutes and covers your contact details, health information, and the studio’s liability release.

Form 1 · required

Yoga & movement

Intake, health history, liability waiver and photo consent for all yoga, Pilates, and meditation classes. Complete it below.

Form 2 · coming soon

Ayurveda intake

A separate health-history and consent form for Ayurvedic consultations is on the way. Until it’s live, Raquel will collect your history at your first consultation.

Your details

Emergency contact

Health & experience

Liability Waiver and Release Form

1. Assumption of risk. I understand that yoga, Ayurveda services, and related classes, workshops, and activities offered by The Well House Yoga & Ayurveda LLC (“the Studio”) involve physical movement, stretching, breathing exercises, and in some cases the use of equipment (mats, blocks, straps, bolsters, etc.). I understand that these activities carry an inherent risk of injury, including but not limited to muscle strains, sprains, joint injuries, and — in rare cases — more serious harm. I voluntarily choose to participate in these activities with full knowledge of the risks involved, and I assume all such risks.

2. Health acknowledgment. I confirm that I am physically fit and have no medical condition that would prevent my safe participation, or that I have consulted a physician and received clearance to participate. I agree to inform my instructor of any injuries, medical conditions, or pregnancy before class begins, and to modify or refrain from any pose or activity that does not feel appropriate for my body.

3. Release of liability. In consideration of being permitted to participate in classes, workshops, one-on-one sessions, and events at the Studio, I, on behalf of myself, my heirs, executors, and assigns, hereby release, waive, and discharge The Well House Yoga & Ayurveda LLC, its owners, instructors, employees, and agents from any and all liability, claims, demands, or causes of action arising out of my participation, except to the extent caused by the Studio’s gross negligence or willful misconduct.

4. Meditation, breathwork, and energy practices. I understand that classes, workshops, or sessions offered by the Studio may include meditation, breathwork, mindfulness practices, or energy-based modalities (e.g., Reiki, sound healing, chakra work). I understand and acknowledge that: these practices are offered for general wellness, relaxation, and stress-reduction purposes only; they are not a substitute for medical or mental health diagnosis, treatment, or care, and are not scientifically or medically proven to heal, cure, or treat any physical or mental health condition; no specific outcome, physical healing, or emotional result is guaranteed; and meditation and breathwork can, in rare cases, bring up strong emotional or physical sensations. I am responsible for pausing, modifying, or stepping out of any practice that does not feel appropriate for me, and for seeking guidance from a licensed medical or mental health professional as needed.

5. Indemnification. I agree to indemnify and hold harmless the Studio and its owners, instructors, employees, and agents from any loss, liability, damage, or cost they may incur due to my participation, to the fullest extent permitted by law.

6. Personal property. The Studio is not responsible for lost, stolen, or damaged personal belongings.

7. Photo/media release. Consent to the use of photographs or video for promotional purposes is optional and is given or declined in the photo & media consent section below.

8. Minors. If the participant is under 18, this waiver must be signed by a parent or legal guardian.

9. Governing law. This agreement is governed by the laws of the State of New Jersey.

10. Acknowledgment. I have read this waiver, understand its contents, and sign it voluntarily.

Studio policies

Cancellations. Class reservations must be cancelled at least 24 hours before the start time. Late cancellations and no-shows forfeit the class credit or drop-in fee.

Packages & memberships. Class packs expire on the dates listed at purchase (5-class pack: 30 days; 10-class pack: 60 days). Memberships renew automatically until cancelled in your account. Purchases are non-transferable and non-refundable except where required by law.

Arrival & conduct. Please arrive a few minutes early; late arrivals may be asked to wait for a safe entry point. Respectful conduct toward teachers and fellow students is required, and the Studio may decline or end participation at its discretion.

Privacy. Your information is used to manage your account, bookings, payments, and studio communications, and is never sold. Health details are shared only with the teachers and practitioners who need them to keep you safe.

Photo & media. From time to time the Studio photographs or records classes, workshops, and events for its website, social media, newsletters, and promotional materials. By participating, you grant The Well House Yoga & Ayurveda LLC permission to photograph, film, and record you and to use your likeness, image, voice, and first name in promotional materials and on social media, without compensation, and you release the Studio from any claim related to that use.

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