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Stacyoga Waiver

Please fill out the following form
in order to participate in our activity.

First name

Last name

Today's Date

I release Stacyoga and Yoga Instructor Stacy Fielding from any responsibility and/or liability concerning the application, processing, and/or consequences of the yoga service I elected to receive.

I give permission for photographs and videos to be taken and shared on social media.

I understand the risk that I may become exposed to or infected by COVID-19 is my sole responsibility and Stacyoga/Stacy Field waives all liability as aforementioned best practices will be followed.

Initials

I declare that the info I’ve provided is accurate & complete

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