Release Form

If you are new to Yoga Farm and are visiting us for the first time, please complete the below form in advance of your participation in our class, course, workshop, or event.

If you are under 18 years old, please download the print version of our release form and have your parent or legal guardian sign it for your first visit. You may also have your legal guardian sign our form in person.

Name *
Date of Birth *
Date of Birth
Phone Number *
Phone Number
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone Number *
Emergency Contact Phone Number
If you are under 18, please download our release form and have your parent or legal guardian sign it for your first class. You may also bring your legal guardian to Yoga Farm to sign the form in person.

Yoga Farm Terms and Conditions

I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. I assume full responsibility for any and all damages, which may incur through participation in activities, classes, workshops, hikes or recreation at Yoga Farm.

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 I 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 to decide 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 Yoga Farm and its teaching staff.

I have read and 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 complete and unconditional release of all liability to the greatest extent allowed by law in the State of New York.

I agree that Yoga Farm may take and use photographs of me with or without my name for any lawful purpose, for example purposes such as publicity, advertising, and web content.