Iyengar Yoga School Ku-ring-gai Student Registration Form

Date: 28/06/23

First Name Itay Surname Dolev _

Usual Class(es)_________________________________________________________________________

Address 4/6 Laurel Place __

Suburb Ryde Postcode 2112 __

Phone: 0434829601 Email nir.dolev@gmail.com

Injuries/Health Problems none ___

_______________________________________________________________________________________

Where did you learn about these classes? Online (website?) friends, other : online

Have you done yoga before? Iyengar Yoga? For how long?______Never did yoga before

______________________________________________________________________________________

Date of Birth 07/12/2011 Profession Student

Waiver
Iyengar Yoga Australia and the teachers of the Iyengar Yoga School Kuringgai are committed to the highest quality teaching
methods of BKS Iyengar as taught in accordance with the Ramamani Iyengar Memorial Institute in Pune.
The Association recognizes the teachers of the Iyengar Yoga School Kuringgai as teachers in training or as assessed, certified and
licensed to teach by the Association or by Yogacharya BKS Iyengar in accordance with international guidelines.
Iyengar Yoga Australia and the teachers of the Iyengar Yoga School Kuringgai advise that participants/students taking part in the
Yoga classes with the teachers of the Iyengar Yoga School Kuringgai understand and acknowledge that:
(a) they are taking party in a physical activity, which may result in physical or other injury to the
participant/student. These injuries cannot be specified but are not limited to strain of muscles or joints.
(b) they note the warning of a risk of possible injury during the participation in any yoga programme/class.
(c) they take part in the yoga programme/classes entirely at their own risk and
(d) the organizers of the yoga programme/classes do not accept any liability of whatsoever nature and however
arising in respect of any claim, damages, loss, injury or expenses suffered directly or indirectly by any
Participant/student arising out of or in connection with his/her participation in the Yoga classes.
It is a requirement and the responsibility of each participant/student taking part in the yoga class
1. to inform the teacher before the beginning of the class if they have any problems with regards to their general health
or if a student of long standing, changes to their health.
2. to inform the teacher of any significant health problems (past or present or any that develop whilst a student)
3. to inform the teacher if she is pregnant or menstruating.
4. to have consulted with their physician before beginning a yoga programme/class if they have any significant health
problems or are pregnant.
5. to listen carefully and follow the teacher’s instructions at all times.
6. to ask the teacher to clarify the direction given by the teacher if they do not understand.
7. to understand that if they experience pain in any particular pose to come out of the pose and consult with the
teacher.
8. to speak to the teacher if they are in any doubt or have any concerns about their ability to practice yoga.
9. to inform the teacher before the beginning of class if they do not wish to have any physical contact, as physical
adjusting is an integral aspect of Iyengar yoga teaching. 

Participants/students must have bare feet. It is suggested that they wear tights/ shorts/ tracksuit bottoms, T-shirts/singlets (layers
can be useful) and not eat for at least two hours before attending class.

Iyengar Yoga Australia and the Iyengar Yoga School Kuringgai recommend that the above guidelines should be followed and
excludes, to the extent permitted by law, all liability for any personal injury or damage (whether direct, indirect, special or
consequential) suffered by the participant/student whilst participating in a yoga programme/class.

I acknowledge I have read the abovementioned and accept its terms.

Signed……………………………………………………..……………………..D ate:…………………