Little Zen Yogis Waiver

Little Zen Yogis Waiver

You only have to do this once for each child. Please contact us if your information has changed.
Fill in Adult Participant and/or Parent or Legal Guardian Information
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Additional Contact (emergency contact)*

First NameLast Name
Additional Contact Phone Number*
Please enter a valid phone number.
Referred by*
Child Information
Name*

First NameLast Name
Age*
Birthdate (month/date/year)*
School*
Experience Level*

New to yogaSome experienceExperiencedOther
Medical Considerations: I represent that my child is in good health and has no medical condition or physical limitation that would prevent them from participating in the yoga classes. *

I agree to inform the yoga instructor promptly of any changes in my child's health or physical condition that may affect their participation in the classes.
Photography and Publicity: I grant Little Zen Yogis permission to use photographs or videos taken during the classes for promotional and educational purposes, including but not limited to the studio's website, social media platforms, and printed materials.*

I agree
Release and Indemnity: I hereby release, discharge, and hold harmless Little Zen Yogis, its owners, instructors, employees, and representatives from any and all claims, demands, actions, or causes of action arising out of or related to my child's participation in the yoga classes, including any injuries, illness, or damages that may occur.*

I agree
I have carefully read and fully understand the contents of this Parent Waiver and Release Form. By signing below, I acknowledge that I am waiving certain legal rights on behalf of myself and my child.
Enter Today's Date*

MonthDayYear
Date
Parent/Legal Guardian Signature*

Powered by Jotform SignClear
Should be Empty:

Little Zen Yogis Waiver

Fill in Adult Participant and/or Parent or Legal Guardian Information

Child Information