Parkside Community School Spring Yoga Class Registration
Registration for full-day Primary class at 2:15p is full. Registration for half-day Primary class at 12:30 is still open and available! Please contact Liz if you have any questions! shaktikidsyoga@gmail.com, 512-785-4897
Child's First and Last Name
*
First Name
Last Name
What Class is Your Child Attending?
*
Please Select
Half-Day Primary: 12:30 pm - 1:05 pm
Elementary or After School: 3:00 pm - 3:40 pm
Parent/Guardian's Full Name
*
First Name
Last Name
Parent/Guardian's Phone Number
*
Please enter a valid phone number.
Parent/Guardian Email Address
*
example@example.com
Additional Parent/Guardian's Information and/or Emergency Contact: Name, Phone Number, Email
*
Is there anything regarding your child we need to know? Ex. Allergies, Recent injuries, Special needs, Alternate mode of dismissal
Back
Next
Liability Waiver
I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether I or my child are fit to practice yoga. I hereby agree to irrevocably release and waive any claims that I and/or my child/children have now or hereafter may have against Shakti Kids Yoga LLC, or Liz Shakti Wyld Hudson, or any teachers teaching under the Shakti Kids Yoga, LLC name. By signing my name below and sending this form in, I am hereby accepting the terms of this liability waiver and I accept that neither the instructor or host is liable for any damages to person/people or property as a resulting from taking this class/es.
*
Back
Next
Choose your child's session:
*
prev
next
( X )
Spring Semester
17 weeks, 10% discount
$
275.00
4 weeks of Classes
$18 per class
$
72.00
Quantity
1
2
3
4
5
6
7
8
9
10
Drop-In Trial Class
$
20.00
Quantity
1
2
3
4
5
6
7
8
9
10
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: