www.ykfitlifestyle.com

Emergency Contact (Name & Number): *

Have you ever done any kind of workout? *

If yes, please provide further details (eg: style & for how long)

YOUR HEALTH:
The following information is required to ensure your safety. Whilst workout may be practiced by the majority of people, there are certain conditions which require special attention.

Do you have any other medical conditions not covered above that might be adversely affected by fitness practice or are likely to cause your concern? *

I take full responsibility for my health during fitness program.

I understand that it is my responsibility to:

· Share with the instructor of any change in my medical information or other, which may be relevant before the start of each class.

· Follow the advice given by instructor.

· Take full responsibility for not exceeding my physical limitations and for any injury that might occur as a result.

· Only do what feels comfortable in class and to work in pain.

· To inform the instructor if I experience any difficulty in class

· To practice mindfully and safely.

I confirm that the above information is correct.

I take full responsibility for my health during fitness program..

I acknowledge that participation in classes exposes me to a possible risk of personal injury. I am fully aware of the risk and hereby release YK Fit Lifestyle (Yogesh Keshwani) from any and all liability, negligence or other claims arising from or in any way connected with my participation in fitness programme.

NEW STUDENT QUESTIONNAIRE