Yoga Class Registration Form OCT 11

Online Yoga Class Registration Form

Find Your Balance, Inside and Out
Sherburne Sports Complex

122 N Main St, Sherburne, NY 13460
Name

First NameLast Name
Email
example@example.com
Phone Number
Gender

MaleFemale
Date of Birth

MonthDayYear
Date
Session
Your Level

Level 1 - BeginnerLevel 2 - IntermediateLevel 3 - Advanced
Yoga Class Liability Waiver & Acknowledgment
I acknowledge that participation in yoga involves physical activity and carries the potential for injury. I voluntarily assume all risks associated with participation in this class, including but not limited to injury, illness, or accident. I release and hold harmless the Sherburne Sports Complex, its instructors (including Jackie Craine), owners, employees, and affiliates from any and all liability, claims, or demands arising from my participation. I certify that I am physically able to participate and will consult a physician if I have any medical concerns.
Payment Information: Payment is $10 per participant, due upon arrival at the class. We accept cash or check only, payable to Sherburne Sports Complex. Please arrive a few minutes early to check in and submit payment before class begins.
Should be Empty:

Online Yoga Class Registration Form