Yoga / Pilates / Dance Studio
Health intake, class packages, progress check-ins, term completion, and liability waivers for yoga, Pilates, and dance studios
Get started with PocperHealth intake, class packages, progress check-ins, term completion, and liability waivers for yoga, Pilates, and dance studios
Get started with PocperPlease read this waiver carefully before participating in any class or workshop at the studio. It explains the nature of the activities, the inherent risks, and the responsibilities you accept by joining us. Ask any questions before you sign.
Full name:
Date of birth:
Address:
Emergency contact (name and phone):
Studio activities may include yoga, Pilates, dance, and conditioning classes — group, semi-private, private, in-studio, and online — taught by certified instructors. Activities involve sustained physical movement, balance, breath work, partner contact (in some classes), and use of props or equipment such as mats, blocks, reformers, barres, or sprung floors.
I understand and accept that physical activity carries inherent risks:
I acknowledge and voluntarily accept these risks
I am medically cleared to participate in movement classes
I will disclose any changes to my health to the studio promptly
I accept that I am responsible for self-pacing and using modifications as needed
I acknowledge the following potential risks. Tick each to confirm.
Musculoskeletal injury (sprains, strains, joint stress)
Falls, slips, or lacerations
Overuse and repetitive-motion injury
Cardiovascular stress
Heat-related illness in heated classes such as hot yoga
Exposure to contagious illness in shared spaces
I am currently pregnant
I am postpartum, less than 6 months
Neither applies
Additional details, doctor clearance, and modifications requested:
In consideration of being permitted to participate, I hereby agree to release, hold harmless, and indemnify the studio, its owners, instructors, employees, contractors, and agents from any claim, demand, or cause of action arising out of or related to any loss, damage, or injury that may be sustained by me while participating in any activity at or sponsored by the studio, except in cases of gross negligence or willful misconduct.
I release the studio, instructors, and staff as described above
I consent to my image being used for studio promotional purposes
If consenting, please tick the channels you allow:
Studio website
Social media
Print and digital marketing
Complete this section only if the participant is under the age of majority.
Parent or guardian name:
Signing on behalf of:
Signed name:
Date signed:
Witness name:
I have read, understood, and accept this waiver
Thank you for taking the time to review and sign. Your safety is our priority — please keep talking to your instructor about how your body feels, in every class.
The Liability Waiver & Informed Consent template is a ready-to-use form from Pocper's Yoga / Pilates / Dance Studio pack. Customize the fields to match your workflow, then share a link so clients can complete it and upload documents in real time.