top of page



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 agree to voluntarily engage in a Yoga, Buti, Buti Glow, HIIT Training, Yoga Workshop, Aireal Yoga or any other training class at Phoenix Rising Yoga Studio located at 445 Putnam Pike, Smithfield RI 02917. I understand the risk involved in participating in this class. In the event that medical clearance must be obtained prior to my participation in the class, I agree to consult my physician and obtain written permission prior to commencement of any Yoga, HIIT, Buti, Yoga Workshop, or any other class offered.

Please read and sign below. a) I understand that I am responsible for monitoring my own condition through the yoga or any class. If any unusual symptoms should occur, I will cease participation in the activity until medical advice has been acquired. b) In signing this form, I affirm that I have read this form in its entirety and that I understand the nature of a Yoga, Buti, Buti Glow, HIIT Training, Yoga Workshop, Aireal Yoga or any other class , and that to the best of my knowledge, I am in good health and have consulted a physician and have represented my health accurately. c) I agree to assume the risk of such exercise, and further agree to hold harmless Phoenix Rising LLC, and/or any of the instructors or owners conducting these classes of any and all claims, suits, losses, or related cases of action for damages, including but not limited to injury, death, accidental or otherwise during or arising in any way from attending any instructional class including but not limited to Yoga, Buti, HIIT Training, Specialty Workshops, Events, Aireal Yoga, Specialty trainings, or visiting the premise.

This contract will extend to any outdoor classes or events hosted by Phoenix Rising LLC as that the undersigned may choose to attend.

I have read and understand this release and agreement and agree to its provisions. I am not under the influence of any drugs, alcohol, or other intoxicants. I am not suffering from any illness or incapacity. I am over 18 years of age. (If not over 18 years of age, parent or guardian must sign.)

bottom of page