Client Intake Form

Name *

First Name

Last Name

Enrolment Agreement *

Health is a matter that vary from person to person. You should understand that when participating in any movement class there is the possibility of physical injury. If you engage in this movement class, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Zoe Blakeney of Dindi Yoga and all its instructors, commentators and any associated from any and all claims or causes of action, known or unknown. You should always consult a physician before starting courses of action that work on fitness or changing your diet. Not all exercises, nutrition programs or activities are suitable for everyone. All information contained in my classes is not intended to be a substitute for professional training, nutrition, diet, health, wellness, fitness, training tips, eating disorders, related issues or any other form of advice. When in doubt, consult your primary care physician, registered dietician or another certified professional.

Yes, I agree to the terms outlined.

No thank you I don't want to proceed.