THE SHALA Health Waiver

Before attending LIVE CLASSES please fill out the following form

Are there any medical conditions or injuries which may affect your practice?
Have you been adviced NOT to participate in physical activities?
  • I understand that certain classes may include physically strenuous activity.

  • I recognise that I am responsible for notifying the teacher of any medical conditions or physical limitations before every class.

  • If I am pregnant, I won't attend hot classes and will notify the teacher prior to class starting.

  • If I am or become pregnant or I am postnatal or post-surgical, my participation verifies that I have my doctor's approval to do so.

  • If I feel pain or strain at any time during the class I will come out of the posture and alert the teacher.

  • I understand the importance of listening to your body and respecting its limits on any given day, and that I can rest at any time during the class.

  • I understand that yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including yoga.

  • I will not perform any postures to the extent of strain or pain.

  • I agree that neither I, my heirs or legal representatives will sue or make any other claims of any kind whatsoever against the teacher or hosting facility for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.

  • I confirm that I am over 18 years of age. 


By signing below, you are agreeing to follow our social distancing and safety protocols.

Although strict measures are being taken by Melton Wellness House to prevent the spread of COVID-19 (such as social distancing, staggered classes, and deep sanitization, etc.), the undersigned acknowledges that attending classes  could result in COVID-19 infection. Accordingly, in addition to all waivers and limits on liability already agreed to by the parties and because of the COVID-19 Pandemic, the undersigned, HEREBY WAIVES AND RELEASES, indemnifies, holds harmless and forever discharges Melton Wellness House and its affiliates, of and from any and all claims, demands, debts, prosecutions, expenses, causes of action, lawsuits, damages and liabilities, of every kind and nature, whether known or unknown, in law or equity, that I ever had or may have, arising from or in any way related to participation in any of the events or activities conducted by, on the premises of, or for the benefit of Melton Wellness House.


On behalf of myself, my heirs, assigns and next of kin, I waive all related claims for damages, injuries and death sustained to me or my property that I may have against Melton Wellness House.

By this Waiver, I assume any risk, and take full responsibility and waive any claims of personal injury, COVID-19 infection, death or damage to personal property associated with Melton Wellness House.


I have read, understand and fully agree to the terms of this Agreement.


I understand and confirm that by signing the Agreement I have given up considerable future legal rights. I have signed this Agreement freely, voluntarily, under no duress or threat of duress, without inducement, promise or guarantee being communicated to me. My signature is proof of my intention to execute a complete and unconditional WAIVER AND RELEASE of all liability to the full extent of the law.

Thanks for submitting!