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studio Health Waiver

To complete registration, please fill out the following medical form.

First Name

Email Address

Last Name

Date of Birth

Do you have a doctor’s permission to participate in physical activities? *

No

Yes

It is important in yoga that you listen to your body, and respect its limits on any given day. If any concerns arise, you will notify JBH Yoga. *

No

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

I give my consent for photos or videos taken during sessions to be used on social media or promotional materials.

Thanks for submitting!

Get in touch

"Start in an easy way, a simple way. It will take you all the way." -Swami Tattvavidānanda

Denton, NC 27239

jbhyoga@outlook.com

1-336-870-3870

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Email

Last Name

Phone

Message

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Accessibility Statement

Land Acknowledgement

Diversity Statment

The goal at JBH Yoga is to create a space that is inclusive and accessible to all. This includes those living with invisible disabilities.

If you see ways in which we could improve, please let us know!

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