Free Family Yoga Registration Form

1

Parent's Name* This field is required.

First Name

Last Name

2

Child's Name* This field is required.

First Name

Last Name

3

Additional Child's Name

First Name

Last Name

4

Additional Child's Name

First Name

Last Name

5

Parent's Email* This field is required.

example@example.com

6

How old is/are your child/ren?* This field is required.

7

Phone Number

Area Code

Phone Number

8

Which class will you be attending?* This field is required.

February 26th

Marth 12th

April 2nd

April 26th

9

Additional Comments (additional family members attending? Special needs? Injuries or allergies or other things for the teachers to be aware of? Goal for Family Yoga Classes?

10

Liability Waiver* This field is required.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, Liz Shakti Hudson. By typing my name and date 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. I understand that some photos will be taken for promotional purposes. All photos will be sent to parents after session for approval before use.

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