Laughter Yoga Class

Laughter Yoga Waiver & Release Form - Please reply to this email with your responses

Laughter yoga is a fun and healthy exercise regime with beneficial effects for the body, mind and emotions. Like any form of aerobic exercise, it should not be practiced by people with medical problems without first taking advice from their medical practitioner. Laughter yoga should not be considered as a substitute for proper medical consultation for physical, mental and psychological illnesses. It may not be suitable for everyone.

This document outlines your acknowledgment of potential risks, your health declaration, and your agreement to release Frequency Lifestyles Pty Ltd from liability related to your participation in the Laughter Yoga.

Participation in Laughter Yoga is strictly limited to individuals aged 18 years and over. No persons under the age of 18 will be permitted to attend or participate in any Laughter Yoga classes, workshops, sessions or events (Laughter Yoga Event). The Company reserves the right to verify age and refuse entry if this condition is not met.

PERSONAL DETAILS

Full Name (required): ____________________________   Date of Birth (required):____/_____/_______

Home Phone: ________________________________        Mobile (required): ________________

☐ I consent to photographs/videos being used for promotional purposes
☐ I do not consent

EMERGENCY CONTACT DETAILS

Full Name (required): __________________________      Mobile (required): _________________

PERSONAL EXPERIENCE

Have you had any previous experience with Laughter Yoga? If so, please describe.

__________________________________________________________________________________________________________________________________________________________________________________

HEALTH DECLARATION

Laughing involves some physical strain and a rise in intra-abdominal pressure. It is contraindicated for people suffering from: (please highlight your answers)

ð      Uncontrolled hypertension

ð      Epilepsy

ð      Incontinence of urine

ð      Advanced (bleeding) piles

ð      Heart disease

ð      Major psychiatric disorders

ð      Any kind of hernia

ð      Severe backache

ð      Any persistent cough

ð      Anything with acute symptoms

ð      Having undergone surgery within the last 3 months

ð      History of miscarriage or Advanced pregnancy

ð      Other

____________________________________________________________________________________________________________________________________________________________________________________________________

Please indicate from the options above if any apply to you. If any of the options are applicable to you, please consult a medical professional before engaging in Laughter Yoga.

Anyone already undergoing physician-prescribed therapy should seek the advice of their doctor before reducing or stopping such treatment. If during a session you feel sudden or new pain, please leave the session immediately or advise the leader if you require assistance.

PLEASE READ CAREFULLY BEFORE SIGNING

By signing this form, you acknowledge the following:

1. RISKS AND RESPONSIBILITIES

Your participation in Laughter Yoga sessions is entirely voluntary, and you accept full responsibility for your health, safety, and wellbeing throughout the practice.

You understand that Laughter Yoga can elicit strong physical sensations and emotional or psychological responses. While these experiences can be beneficial, they may not be suitable for everyone. By participating, you acknowledge and voluntarily assume all known and unknown risks associated with this practice.

If at any time you experience discomfort, pain, dizziness, anxiety, or distress, you agree to stop, modify, or rest as needed and to seek assistance from the instructor or facilitator.

You agree to:

• Follow all instructions and safety guidance provided by the facilitators or instructors.

• Accept that failure to follow these directions is at your own risk.

• Take full responsibility for any injury, illness, or other effects arising from your participation.

• Ensure the safekeeping of your own personal belongings, acknowledging that the organisers are not responsible for any lost, stolen, or damaged items.

2. PERSONAL RESPONSIBILITY AND MEDICAL DISCLAIMER

Laughter Yoga is a wellness practice. It is not a substitute for medical care or mental health treatment.

You are responsible for consulting a qualified healthcare professional regarding any pre-existing or emerging health conditions before, during, or after your participation.

You confirm that you have accurately disclosed all relevant medical conditions, injuries, or health concerns that may affect your ability to safely participate. You also agree to update your facilitator should your health status change at any time.

By signing this form, you acknowledge that you are personally responsible for your wellbeing and participation, based on your own informed decision.

3. LIABILITY WAIVER AND RELEASE

By signing this form, you acknowledge and agree that participation in Laughter Yoga sessions is undertaken at your own risk.

You irrevocably release, waive, and discharge the Company, along with its directors, authorised facilitators, instructors, employees, contractors, and representatives (collectively, the “Released Parties”), from all claims, damages, liabilities, or actions arising out of or connected with your participation in Laughter Yoga sessions.

You further assume full and sole responsibility for all risks — physical, emotional, mental, or otherwise — and agree that the Released Parties will not be held liable for any loss, injury, or damage, including those resulting from negligence.

This release applies to all forms of participation, including guided sessions, workshops, classes, one-on-one coaching, and use of any facilities or equipment.

4. CONFIDENTIALITY AND CONSENT

Your personal information (including sensitive health details provided above) will be handled in accordance with the Company’s Privacy Policy, available at https://www.frequencylifestyles.com.au/copy-of-copyright-notice or on request. This includes how we collect, store, use, disclose, and protect your information, and your rights to access or correct it.

We may take photographs or videos during the retreat for promotional purposes.

If you do not wish to be photographed, please notify us in writing prior to the event.

By signing below, you confirm that you have read, understood and agree to the terms and conditions outlined in this waiver.

I, ___________________________________________, am participating in Laughter Yoga with Frequency Lifestyles Pty Ltd. I accept responsibility for informing Frequency Lifestyles Pty Ltd, its authorised facilitators, employees, and/or representatives about any medical conditions, injuries, pregnancy, or changes to my health that may affect my practice, prior to a workshop, event, session or class commencing. I understand it is my personal responsibility to consult with my doctor or health practitioner regarding my participation. I have no medical or mental condition, which would prevent me from taking part in Laughter Yoga. If my health condition should change, I agree to fill out a new Waiver & Release form and advise Frequency Lifestyles Pty Ltd of the new changes. I understand the instructions are intended as guidance and I assume responsibility to practice within my personal limits and to decide whether or not to follow the suggestions provided by the instructor. I have read the above release and waiver of liability and understand its contents. I agree to the terms and conditions stated above.

Date: _____/______/_________                Signature or initial: ___________________________

Welcome my monthly Laughter Yoga class

Laughter Yoga enables the joy of laughter even if you don’t feel like it. It’s an aerobic exercise program that anyone can do anytime and anywhere that results in health and happiness. This gentle yet powerful aerobic exercise can be done by anyone, anywhere and is designed to support both health and happiness. We end the class with a beautiful integration meditation.

To help you get the most out of each session, please wear comfortable, loose-fitting clothing that allows you to breathe and move freely. Layers are ideal, as your body temperature can fluctuate during the meditation. You may also like to bring a water bottle, a journal, and anything that helps you feel comfortable (blankets, cushions and mats provided).

For your comfort and safety, please avoid eating heavy meals at least 2 hours before the session. A light snack earlier in the day is perfectly fine. Come well hydrated, avoid excessive caffeine beforehand as it can stimulate the nervous system and impact your experience.

FlourMill Space Unit 106, 3 Gladstone Street, Newtown, NSW, 2042

Event Dates: Monday 15th June

Start Time: 6:30pm

Please aim to arrive 5–10 minutes early so you can settle in and ground yourself before we begin. Sessions will start on time to help maintain a safe and supportive container for the group. If you are running late, please call me on 0473 117 174 and be mindful of the time and experience of the other participants.

If you feel unwell on the day or experience any changes to your health, please reach out prior to attending.

I’m honoured you’ve chosen to invest in your wellbeing. This is your time to slow down, breathe deeply, and reset.

Love and Light,

Anna

Frequency Lifestyles

WHERE WELLNESS IS INTENTIONAL