AADISHAKTIUSA · DANCE & FITNESS STUDIO← Back to the studio

ADISHAKTI USA / BEFORE YOUR FIRST CLASS

Move with confidence.

Medical Concern & Liability Waiver Form

Please complete this form before joining online fitness, yoga, or dance classes. Share information relevant to participation so the studio can review your concerns.

All fields are required unless marked optional. Answer every health question.

01 / About the participant
02 / Health & movement
Do you have any pre-existing medical conditions?
Have you had any past injuries relevant to exercise?
Do you have any heart conditions?
Do you have high blood pressure?
Do you have asthma?
Do you experience dizziness?
List relevant current prescription medication, or enter “None”.
Are you currently pregnant?
Additional information / measurements, routine & goals

Signature, date and declaration below are required. Other additional details are optional. Include units with height and weight.

03 / Review & consent

Participation & liability waiver

I hereby certify that I am physically fit and well enough to participate in the online fitness, dance, and yoga classes provided by Aadishakti. I understand that physical exercise involves inherent risks of injury. In the event that I sustain any physical injury, health complication, or accident during or as a result of these sessions, I, along with my legal heirs/representatives, assume full and sole responsibility. I release and hold harmless Aadishakti, its instructors, and founders from any liability, claims, or demands arising out of my participation.

Waiver version: 2026-11-03-v2

Submitting does not confirm medical fitness, class availability, or enrolment.