St. Francis Yoga

St. Francis Yoga

Yoga
I, blanks , release Child's Heart Yoga, Bridget Strama, and all sponsoring agencies from injury responsibility, and I certify that my child, blank 's level of physical condition as determined by myself will allow him to participate in this program.
Emergency Contact Phone
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Emergency Contact Name

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Email
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Please check if you do NOT want photos of your child used in promotional postings or flyers.

I do not want photos of my child used in promotional postings or flyers.
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Name of child participating

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My child is in blanks grade.
Name

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Please fill in whether your child will be picked up or go to after care. My child will blanks after the session end. Pick up is promptly at 4 p.m.
What would you like your child to take away from these classes for use in his everyday life?
Does your child have any limitations/worries about participating in this program that I should be aware of?
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