Non-Heated Yoga Class Waiver
Please review and sign this waiver before participating in a non-heated yoga class at Mandy’s Yoga Vibes.
Participant Name
*
First Name
Last Name
Date of Birth
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
0
01
011
0111
01111
Year
Email Address
*
example@example.com
Emergency Contact Name
First Name
Last Name
Emergency Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
This yoga class is held offsite and not at a studio. Spots Rolling Bean is not liable for any injuries, damages, or other issues that may occur before, during, or after participation in this class.
Participant Signature
*
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
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