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The Privates Pack

Fill in the agreement, intake form and waiver, then save or print.

⚠ Read first: these are editable templates, not legal advice. Check what your insurance requires and have the wording reviewed locally before relying on the waiver.
Template 1
Private session agreement
Teacher: , , insured with
Client:
Date:
1. Sessions & rates
  • Rate: $ per minutes (or pack of for $).
  • Location:
  • Travel beyond miles: $ added.
2. Payment
  • Payment due via .
  • Packs are paid upfront and valid for months.
3. Cancellation
  • h notice to reschedule at no charge.
  • Later than that, the session is charged in full.
4. Health & safety
  • Client confirms the attached health intake is accurate and will update the teacher of any changes.
  • Yoga is practised at the client's own pace; the client may rest or modify at any time.
5. Agreement
Client signature:Date:
Teacher signature:Date:
Template 2
Health intake form
Name
DOB
Phone
Emergency contact
1. Why are you coming to yoga? (goals / what you'd like to work on)
2. Yoga experience:
3. Do you have, or have you recently had, any of the following?
4. Details of anything ticked above:
5. Are you under medical care or taking medication relevant to exercise?
6. Anything else I should know to teach you safely?
Template 3
Liability waiver note
I, , understand that yoga is a physical activity and carries inherent risks of injury. I confirm that:
  • I have completed the health intake honestly and will update of any changes to my health.
  • I take responsibility for practising within my own limits and will rest or modify any posture as needed.
  • I have consulted a doctor if I have any condition that could be affected by physical activity.
  • I participate voluntarily and at my own risk.
Signed:Date:
Booked & Paid — The Yoga Teacher Money Kit