BABY MASSAGE/YOGA HEALTH WAIVER FORM

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Please fill out the following Health declaration Form
in order to participate in our classes. 
The following information is required in order to assess whether or not it is advisable for you to proceed with this Baby Massage or Baby Yoga course.
 Whilst this is a very safe treatment, there are certain cautions which may require special attention or a referral note from your GP.  This information will be stored safely and treated in the strictest confidence.
Once you have filled out the form & ticked the acceptance
for the Health Waiver & all Terms & Conditions, you can go back
to your previous booking window to finish the booking process
Thank you!

PARENT/GUARDIAN 

CHILD'S EMERGENCY CONTACT

If different from above

MEDICAL DETAILS

If your baby is currently experiencing any medical conditions that the instructor should be informed of please specify here:

CAUTIONS:

* After feeding                        * Baby not responsive                        

* Physical conditions                 * Swellings

* Nervous disorders                 * Skin diseases/disorders                  

* Cuts/Abrasions                      * Breaks/Fractures                            

* Recent operations                  * Allergies

If your baby is currently taking medications or has serious allergies that should be made known to medical personnel in case of an emergency, please indicate them here:

Are there any reasons why GP approval may be required before Baby Massage/Yoga can take place?

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If YES to the above question

Any extra help we need to provide (for example because of a disability):

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If YES to the above question please let us know how we can help below

Is there anything else we should know?

HEALTH WAIVER

Asana (yoga posture) means posture easily held. If it’s too hard or if it hurts, you &  your child can stop or may rest at any time during the class. 

 

I, the undersigned parent or guardian, understand that Yoga is not a substitute for medical attention, examination, diagnosis, or treatment.

 

In the case where I or my child has an injury, sickness, or anything else that may be affected by physical activity, I have consulted with a medical professional to ensure myself & my child can take yoga classes

 

I recognise that is is my responsibility to notify the instructor of any serious illness or injury before every yoga class.

 

In further consideration of permitting myself & my child to participate in the yoga class, I knowingly, voluntarily, and expressly waive any claim I may have against Karma Kids Uk Ltd, Jade Lawrence and Natalie Bartlett or any other teacher working for Karma Kids Yoga UK and the owner/lessor of the Premises for injury or damages that my child may sustain while on the Premises as a result of participating in the yoga class.

   

I, my heirs or legal representatives irrevocably covenant not to sue and forever release, waive, and discharge any other claims of any kind whatsoever against Karma Kids Uk Ltd, Jade Lawrence & Natalie Bartlett or any other teacher working for Karma Kids Yoga UK Ltd or the owner/lessor of the Premises for any personal injury, property loss or damage, or wrongful death, whether caused by negligence or otherwise.

 

I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.

 

I accept that neither the instructor, nor the hosting facility is liable for any injury, or any damages, to person or property, resulting from the taking of the class.

 

Please note aromatherapy and pure essential oils may be used in some of the yoga classes. If your child is allergic to essential oils, please advise before each class.

covid safety

Karma Kids aims to provide a safe and enjoyable experience

To help us do this, please note the following important information.

I agree to 

My child taking part in the stated activity & Karma Kids UK LTD/Natalie Bartlett keeping a record of this form for health and safety reasons under our GDPR & Privacy guidelines

My child being filmed or photographed during the activity, with the possibility that these photographs/media recordings may be used for publications or marketing publicity.

NOTE: if consent is not given, Karma Kids/Natalie Bartlett  will NOT  use any images taken during the activity that contain the child/young person.

  • Parents/Carers should arrive at the studio at the class time, using any one way system set in place by the Ministry of Yoga.

  • Buggies/Strollers/Prams can be left in the front outside space  or in the ground floor changing room but we cannot accept any loss, responsibility or damage to these or any personal belongings

  • For Parent/Carers please ensure you follow social distancing in accordance with Gov guidance whilst in the main areas of the Ministry of Yoga

  • Parent/carers - masks should be worn on the premises & in class ( Parent & Child Classes)

  • Please check in using the Covid QR code

  • Children should dress comfortably as they will be moving, sitting on yoga mats and participating in a wide variety of movement & yoga poses . 

  • Please remove your child's footwear before entering the activity area & place them on the shelves directly outside the Karma Kids studio door 

  • Children should wear non-slip socks.

  • Equipment will be kept to a minimum & will not be shared between children

  • All equipment & the Karma Kids Uk Ltd studio will be cleaned between classes

  • To avoid Covid transmission you have the option of providing your child with their own yoga mat

  • No food is to be consumed within the yoga studio. *

  • Only water in closed containers (no glasses or cups) is to be drunk within the yoga studios. *

  • No hot drinks are allowed.*

  • (*Exceptions :Infant feeding Formula /Breastfeeding )

  • In the event of a fire, visitors are asked to make their way to the nearest available exit.

For more information please click here for our General Terms & Conditions 

Thanks for submitting!