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Welcome

We're grateful you're here.

This form helps us get to know you, understand how we can best support your experience, and complete the agreements that allow you to participate in Intera Yoga offerings.

Already completed a similar form? You may have signed an earlier version when purchasing your plan. We’ve updated our system so your agreement can remain connected to your Intera Yoga account for future bookings. Thank you for completing it once more during this transition.

Contact Information

First name

Last name

Phone

Address

Birthday

Month

Day

Year

Is there anything you'd like your teachers to know about you or your medical history to best support your experience?

Emergency Contact

Name

Phone Number

Guidelines & Agreements

I have read and agree to abide by the Intera Yoga Etiquette Guidelines.

I have read and agree to the Intera Yoga Liability Waiver.

By signing this document, I acknowledge the inherent risks and voluntarily assume full responsibility for any injury, damage, or loss that may result from my participation. I hereby waive and release Intera Yoga, LLC, its owners, community partners, and its staff from any and all liability, past, present, and future, relating to the services provided.

Signature

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Yes, I'd like to receive occasional updates about classes, workshops, events, and community offerings.