Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Mailing Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Location *

Do you prefer to work in-studio or online? Please note, there is a $10 fee, per session, for one-on-one in-person sessions. Covid booster is required.

In-Studio

Online

24-Hour Cancellation Policy *

When you schedule an appointment, that time is reserved for you. If you arrive late, we will work through to the end of your scheduled session. If I am late, you will receive the full amount of time for which you scheduled. If you need to cancel or reschedule your appointment, at least 24 hours notice is required, or you will be charged for the session. In the event of a Covid exposure or infection, in-person classes will be offered online.

I have read and agree to the 24-hour cancellation policy.

Vaccination and boost for Covid 19 *

If you are planning on attending in person, please bring vaccination card to your first session.

I have been boosted for Covid 19 in the past 12 months.

Release of Liability *

I acknowledge that I am voluntarily participating in health and wellness services offered by Andrea LaVare Yoga/ Salud Health and Wellness Services, LLC. I understand that the practice of yoga involves physical exertion and may carry a risk of injury or physical harm. I acknowledge that I am responsible for monitoring my own physical condition and determining whether I am fit to participate in any yoga classes or events taught by the Instructor. I assume full responsibility for any risks or injuries that I may sustain as a result of my participation in such activities. I hereby release and discharge the Instructor from any and all liability, claims, demands, actions, or causes of action that may arise from my participation in yoga classes or events taught by the Instructor, including but not limited to any injuries or damages that may result from the negligence or misconduct of the Instructor. I understand that this Release of Liability and Assumption of Risk Agreement shall be binding on me, my heirs, assigns, executors, and administrators, and that I am giving up substantial legal rights by signing it.

I have read and agree to this Release of Liability.

Infrared sauna rules of conduct. *

I agree to wear a swimming suit during infrared sauna use. No nude sauna bathing please. I agree not to drink alcohol or use drugs before sauna use.

I agree to the infrared sauna rules of conduct.