Beach Yoga Registration

Beach Yoga Registration

Complete the form below to register for beach yoga at Pentucket Pond at the American Legion Park in Georgetown, MA. Classes are all 45 minutes long and begin at 8am.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Which date(s) are you signing up for?
WAIVER OF LIABILITY:

By signing this form, I release Michelle Dumas, Yoga Instructor, from any responsibility and/or liability concerning the application, processing and/or consequences of yoga instruction, including physical postures, breathwork, meditation, mindfulness practices, mobility exercises, stretching, relaxation techniques, and any modifications or hands-on assists provided with my consent. Understanding the inherent risks associated with yoga and physical exercise, including but not limited to muscle soreness, strains, sprains, joint injuries, falls, loss of balance, dizziness, fainting, aggravation of existing medical conditions, and, in rare cases, more serious injury, I voluntarily choose to participate and assume all risks associated with my participation. I, the client, by signing this form, also affirm that understanding the above described activities that I am healthy enough to participate.
I have read and agree to the waiver of liability above.
These classes are donation based! All proceeds go to the Georgetown Kiwanis Club to continue benefitting our community. Donations in any amount are welcomed and appreciated. You can Venmo me using the information below, write a check directly to the Georgetown Kiwanis Club and give it to me before class, or give a cash donation. Please note, donations are suggested not required. If donating creates financial hardship, forgo the donation & join the class anyway!

Thank you!
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