Welcome to Village Yoga
This is our Liability Waiver and Emergency Contact form. It is MANDATORY that each and every student fills it out and acknowledges their signature at the bottom. Thank You, Merrily & MJ McDonald
**** This information is for the SOLE USE of Village Yoga, LLC ***
Your First Name
Your Last Name
I acknowledge and agree to the Waiver above by checking "Acknowledgment" Below.
Your Cell Phone #
How did you hear about us?
Village Yoga Card
Internet? See Below
Have you seen Village Yoga on...
In case of a Minor (under 18 years of age), Your First & Last Name
I acknowledge and agree to the Waiver above by checking "Acknowledgment" Below in the case of a Minor.
Emergency Contact Relationship
Emergency Contact Phone #
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