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Inner Light C.I.C - Yoga Participation Waiver & Health Form

Name

Address

Contact

Medical Information

Session Expectations

Emergency Contact

Photography & Media

Inner Light C.I.C. occasionally takes photographs and short video clips during sessions for the purposes of documenting our work, demonstrating community impact, and sharing updates with funders and partners. We will take or use identifying images of your child without your explicit permission.

Photography & Media Consent: Please indicate your preference below (tick one):

Full Consent - I give permission for Inner Light C.I.C. to take photographs and/or video of my child and myself during sessions, and to use these images for: Funders' reports, Community impact updates, Website and social media, Marketing and publicity materials. I understand that no personal information (names, schools, diagnosis) will be shared.

Limited Consent (Non-Public Use Only) - I give permission for photographs and/or video to be taken for internal use only, including monitoring, evaluation, staff training, and funder reporting. I do not consent to any public sharing.

No Consent - I do not give permission for any photographs or video of my child or myself to be taken during sessions.

I understand that I may withdraw consent at any time by emailing [email protected].

Acknowledgement & Waiver

By signing below, I confirm that:

1. I understand yoga involves physical activity and, as with any exercise, carries a small risk of injury.

2. I take full responsibility for my own health and wellbeing during classes, and I will inform the instructor of any medical conditions, injuries, or changes to my health before participating.

3. I release Inner Light CIC and its instructors from any liability for injury or harm sustained during participation, except in cases of negligence.

4. I agree to follow safety instructions and to practice within my own limits

Adult / Parent's Signature

Signature

By typing your name here, you are signing this waiver electronically and agree it holds the same legal value as a handwritten signature.

Are you attending the Parent & Child SEN class?

Yes

Venue Health & Safety Forms

For classes held at our partner venues, please also complete the required Health & Safety form (only once per venue):

Cedars Children's Centre https://forms.office.com/r/UXvfRNQyyk

Hillview Children's Centre https://forms.office.com/r/7pkvbQpJzv

Thank you for taking the time to complete the Liability Waiver Form.

We look forward to seeing you soon!

Data Privacy: Your information is stored securely in Notion and only used to support your wellbeing and safety during sessions