Corporate Yoga Intake Form Thank you for your interest in the Detroit Yoga Institute’s customized yoga program for the Greening of Detroit! To ensure we create a program that meets the unique needs of your team, please take a moment to complete this intake form. Your feedback will help us structure class offerings, schedules, and levels of practice.Contact Information Name:Email: (Your email will be used to communicate program details, schedules, and updates related to the Greening of Detroit yoga sessions. We value your privacy and will not share your information without your consent.)Phone Number:Department/Role:Experience and Goals What is your current experience level with yoga? (Check one) beginner intermediate advanced What are your primary goals for participating in yoga classes? (Select all that apply) stress relief/mental health increased mobility physical fitness Do you have any physical conditions or limitations we should be aware of? (e.g., injuries, pregnancy, etc.) please listClass Preferences Which type of yoga class are you most interested in? (Check all that apply) breath-work meditation yoga stretching Which time of day works best for you to attend yoga classes? (Check all that apply) mid morning late afternoon Where would you prefer to take yoga classes? Detroit Yoga Institute The Greening of Detroit Additional Feedback What would make this yoga program a meaningful experience for you?Do you have any specic requests or suggestions for the yoga program?Acknowledgment By submitting this form, I acknowledge that I am voluntarily participating in yoga classes offered by Detroit Yoga Institute. I understand that it is my responsibility to inform the instructor of any physical conditions that may affect my practice.Signature:Date: MM slash DD slash YYYY Waiver and Release of Liability I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education, and relief of muscular tension. As with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I will continue to breathe smoothly. I assume full responsibility for any and all damages that may incur through participation. Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. Yoga is not recommended and is not safe under certain medical conditions. By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant, or am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible for deciding whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Detroit Yoga Institute, LLC and any of its instructors. I have read, fully understand, and agree to the above terms of this Liability Waiver Agreement. I am signing this agreement voluntarily and recognize that my signature serves as a complete and unconditional release of all liability to the greatest extent allowed by law in the State of MichiganSignature:Date: MM slash DD slash YYYY
