Movement and Mindfulness Agreement

Movement and Mindfulness Agreement
Participant Waiver and Agreement
Printed Name of yoga participant
Printed Name of parent, caregiver, or guardian (if under the age of 18)

First NameLast Name
Type/facility of Yoga Program Participating In
Signature of participant or parent/caregiver/guardian (if under the age of 18)

Clear
Date

MonthDayYear
Date
Email
example@example.com
The lifelong tools yoga teaches us continue to give long after we step off our mats. Thank you for investing in yourself and in turn, changing the world, one breath at a time.

Jacky Pagone

Creator, Director

YogaForLifeLV.org

Giving tools for life.
Should be Empty: