YFL Training and Workshop Registration Form

YFL Training and Workshop Registration Form

Please fill out the registration form below. Contact info@yogaforlifelv.com with any questions. See you in training!
Name *

First Name Middle Name Last Name
Birth Date

Month Day Year
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
E-mail *
example@example.com
Mobile Number *
Emergency Contact *
NAME and PHONE of contact
Select Course *
What is your current profession?
How did you hear about this training? *
Would you like to be added to the YFL Newsletter mailing list and receive occasional emails about trainings, exclusive discounts, program updates, and community events? Your email is never shared, and we promise not to fill up your inbox. We generally share 1 per quarter. *

Yes! I want the awesome YFL newsletter! I already receive your inspiring newsletters! No thanks, I'll pass for now...
Cancellation Policy: Cancellations and refunds for reservations greater than 15 days prior to the course start date, there is a $50 cancellation fee. All other funds will be refunded. For cancellations less than 14 days prior to course start date there is a $100 cancellation fee. All other funds will be refunded. Once the course has commenced, no refund is available. In the case of an emergency, credit towards another YFL training may be discussed on a case by case basis. You must contact Jacky directly via email with any cancellation requests. Jacky Pagone: info@yogaforlifelv.org *

Yes, I understand and agree with the cancellation policy.

Select Course *

Power of Language Workshop Learn secrets that maximize the experience and progress of your students in your group movement/fitness classes. 10 hour workshop

$ 179.00

Kids and Teens Yoga Teacher Training Kids and Teens Yoga Training - 30 hour certification

$ 459.00

Printed Training Manual We will email you a PDF of the training manual to print on your own. * IF you would like a printed, bound and delivered hard copy of your manual, please select this option. Please allow 7-10 days to receive your YFL printed manual. Rush orders will be an additional shipping fee. Please contact Jacky to arrange rush orders. info@yogaforlifelv.org

$ 40.00 If registering for both trainings, please specify which manual you would like printed and sent to you.

Enter coupon

Subtotal

$ 0.00

Shipping

$ 0.00

Total

$ 0.00

Please verify that you are human *

Participant Agreements

Movement and Mindfulness Agreement

I understand that yoga includes physical movements as well as an opportunity for relaxation, healthy stress management and relief of muscular tension. Participation in yoga class includes, but is not limited to participation in meditation techniques, yogic breathing techniques, and performing various yoga postures. Yoga postures, or asanas, are designed to exercise every part of the body―stretching and toning the muscles and joints, the spine and the entire skeletal system. They also work on the internal organs, glands and nerves. Yoga incorporates sustained stretching to strengthen muscles and increase flexibility. Yoga is an individual experience.

As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. My signature acknowledges I understand that in yoga class I will progress at my own pace. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly. If at any point I feel overexertion or fatigue, I will respect my body’s limitations and I will rest before continuing yoga practice.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Yoga For Life Las Vegas, Monkey Mind Management LLC, owners, employees, volunteers, and Yoga teachers.

By signing my name below, I acknowledge that participation in yoga classes exposes me to a possible risk of personal injury. I am fully aware of this risk and hereby release Yoga For Life Las Vegas, Monkey Mind Management LLC, owners, employees, volunteers, and Yoga Teachers from any and all liability, negligence or other claims arising from or in any way connected with my participation in yoga class.

My signature further acknowledges that I shall not now or at any time in the future bring any legal action against Yoga For Life Las Vegas, Monkey Mind Management LLC, owners, employees, volunteers, and Yoga Teachers; and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. My signature verifies that my child is physically fit to participate in yoga classes and a licensed medical doctor has verified my physical condition for participation in this type of class.

My signature is binding to this liability waiver from this day forth.
Please confirm you have read and understand the Movement and Mindfulness Agreement *

Yes, I understand and agree
Virtual Class Agreement

I understand all virutal classes, workshops and trainings are recorded. Recordings may be edited for further teaching use.

I herby grant Yoga for Life Las Vegas and Monkey Mind Management LLC the right and permission to use photographs and/or video recordings of me on YogaForLifeLV.org and other websites, publications, promotional flyers, educational materials, promotional videos, instructional videos, social media, or for any other similar purpose without compensation to me.

I understand and agree that such photographs and/or video recordings of me/my child may be placed on the Internet, and used in social media. I waive the right to approve the final product. I agree that all such portraits, pictures, photographs, video and audio recordings, and any reproductions thereof, and all digital files are and shall remain the property of Monkey Mind Management LLC.

I hereby release, acquit and forever discharge the Yoga For Life Las Vegas, Monkey Mind Management LLC, its current owners, employees, volunteers, and yoga teachers of the above-named entities from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation.

If for any reason you do NOT want to be seen or heard occaisionally in our social media feed, Youtube channel or website, no stress. We respect your privacy!
Please confirm you have read the Virtual Class Agreement. *

Yes, I have read and understand the Virtual Class Agreement. * only check this box if you do NOT want your image or voice used in any way. We absolutely respect your privacy!

Student for Life Committment Agreement

I affirm the willingness to:

1. Commit my full focus, attention and interest as best as possible to participating and learning yoga, life tools, and all I can during the YFL yoga teacher trainings and workshops.

2. Understand yoga is a life-long learning process. I will commit to continue to learn and share with others to help inspire my life and the lives of others.

3. Ask questions. Ask for what you want. There is opportunity in asking questions.

4. Teach children, adolescents, and adults yoga from the best of my knowledge with only the best intentions. I will teach from my knowledge, experience and wisdom with respect to my teachers, my students, myself and those I have not yet met.

5. Respect the intellectual property, manual, images and graphics created by Yoga For Life Las Vegas, Monkey Mind Management. The information and images used in Kids and Teens Yoga Teacher Training Foundations manual, YFL website, YFL social media, and other YFL public viewing is owned by Money Mind Management. Copying, printing, reproducing the material or images in any way without written approval by Monkey Mind Management owners is disrespectful and does not follow yogic principals.

6. Commit to creating moments of gratitude daily.

I will follow through on these commitments, regardless of changes in Yoga For Life, Monkey Mind Management.

I commit myself to being a student for life.
Please confirm you have read and agree to Student for Life Commitment Agreement *

YES! I am a student for life!
Signature

Clear
Should be Empty:

Now create your own JotForm - It's free! Create your own JotForm