Forms

Please fill out the forms below if you are a first time guest.

Health Declaration Form
Liability Waiver Form
Photography Consent and Release Form
Emergency Contact Form

Health Declaration

Please fill out the following form in order to

participate in Soulshine Yoga and Fitness.

First Name

Last Name

Date of Birth

Have you been hospitalized in the last 12 months?

Yes

Are you suffering from a medical condition, illness, or injury?

Yes

If you answered yes to any question, please elaborate

Initials

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Grow Your Vision

Welcome visitors to your site with a short, engaging introduction.

Double click to edit and add your own text.

Liability Waiver

First Name

Last Name

Date of Birth

Do you have a doctor’s permit to participate in intense physical activities?

Yes

Please specify anything we should know about

Initials

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

Thanks for submitting!

Photography consent & release form

First Name

Last Name

Date of Birth

Initials

I hereby give my consent to use my photographs according to the terms & conditions

Thanks for submitting!

Emergency Contact Form

First Name

Last Name

Phone

Address

YOUR EMERGENCY CONTACT DETAILS:

Contact First Name

Contact Last Name

This contact is my

Contact Phone Number

Contact Email

Thanks for submitting!
We’ll contact this person only in case of emergency.