Weekly Yoga with Helen

Weekly Yoga with Helen

Online via Zoom
Preferred Method of Payment: *

eTransfer Credit Card PayPal
You will be sent a secure Zoom link to Register for the class(es) you prefer upon receipt of payment within 24 hours. Thank You.
Class Style:
Start Date or Drop-in Date Preferred: *

Month Day Year
Date
Preferred Option: *

8-weeks for $70 CAD Drop-in $15 CAD
Your Full Name *
E mail Address: *
example@example.com
Phone Number *

Area Code Phone Number
Emergency Contact Name:
Emergency Contact Phone Number

Area Code Phone Number
Do you any conditions or injuries that could affect your Yoga practice? *
Would you like to stay in touch with Helen about her classes and events?* *

Yes, I consent to be added to Helen's weekly newsletter. Yes, I would like to receive e-mails about Helen's yoga promotions & events. No, I do not consent to be added to any mailing lists.
Waiver of Liability
I am aware that the yoga classes will involve low impact activity, which will place a degree of stress to my muscular and cardiovascular systems. I understand that I am cautioned not to overwork my body and to do only the movements I am physically capable of executing. I understand that Helen Fong is a Certified Hatha Vinyasa and Yin Yoga Teacher who can only provide guidance under the Scope of Ability in this specialization. I understand that before participation in the yoga classes I should receive medical clearance from my physician. I understand that I am solely responsible for supervising and guarding the health and safety of myself. I hereby release and waive for myself, my heirs, any and all rights to claims from damages arising from any illness, injury occurrence or aggravation to myself as a result of participation.
Printed Name *
Signature *

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Date *

Month Day Year
Date
www.helenfongyoga.com
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Weekly Yoga with Helen

Waiver of Liability