Intake

Thank you for your interest in private sessions. Please take a moment to fill out this form so I can learn more information about you.

Intake

First and Last Name *

Address

Email Address *

By including my email, I understand that I am opting in to occasional virtual communications from Lauren Clausen Yoga.

Phone Number

What type of offering are you interested in? *

Personalized Yoga

AcroYoga Private

Thai & Fly Session

Why you are interested in private sessions? What goals are you hoping to achieve? *

Are you currently practicing yoga or acro? What is your current level of physical activity? *

Do you have a day/date/time scheduling preference? Please describe your availability. *

Any recent injuries, surgeries, or conditions that may affect your practice? *

Do you have any questions for me? *

AGREEMENT OF RELEASE AND WAIVER OF LIABILITY I hereby agree to the following: 1. I am participating in the Private Lessons, Classes, Workshops, Intensives, Immersions, Conference, Festival, or Retreats offered by Lauren Clausen Yoga during which I will receive information and instruction about yoga, Thai yoga massage and acrobatics. I recognize that yoga, Thai yoga massage and acrobatics require physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. 2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any or all offerings by Lauren Clausen Yoga. I represent, verify, and warrant that I am physically fit and that I have no medical condition that would prevent my full participation in any or all AcroYoga offerings. 3. In further consideration of being permitted to participate in any or all AcroYoga, Inc. offerings, I knowingly, voluntarily and expressly waive any claim I may have against by AcroYoga Inc., and/or Lauren Clausen for injury or damages that I may sustain as a result of participating in the AcroYoga Inc. offerings. 4. I further hereby indemnify and hold harmless AcroYoga Inc. and/or Lauren Clausen and their successors and assigns from any and all damages, liabilities, costs and expenses, including reasonable attorneys’ fees, arising out of or relating to any claim by a third party resulting from my practice or instruction in the field of yoga, Thai yoga massage or acrobatics. 5. I, my heirs or legal representatives forever release waive, discharge and covenant AcroYoga Inc., and/or Lauren Clausen and any of their subsidiaries for any injury or death caused by their negligence or other acts. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above. If participant is under 18, as legal guardian of the participant, I consent to the above terms and conditions. *

I hereby confirm that I have read, understand, and accept the conditions of the AGREEMENT OF RELEASE AND WAIVER OF LIABILITY represented above

If you are human, leave this field blank.