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TMC Class New Student Form Form
Please complete this form if you are interested in or planning on taking classes at The Metta Center
Date *
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Name: *
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Phone: *
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Date of Birth: *
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Email: *
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Address:
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City & Zip:
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How did you hear about us?:
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What class(es)/Instructor(s) are you interested in attending:
Have you participated in Yoga or Tai Chi before?
Release of all claims: This release is intended to discharge in advance The Metta Center, Lise Flora Waugh, John Hawkins, Joani Glasser and Art Baner from and against any and all liability arising out of or connected in any way with my participation in classes at The Metta Center, even though that liability may arise out of the negligence or carelessness on the part of these facilities or its servants, agents or employees.

I further understand that accidents occasionally occur during the performance of Yoga or Tai Chi. Knowing these risks, I assume those risks and to release and hold harmless this facility (The Metta Center) and all the teachers therein.

I further understand and agree that this waiver, release and assumption of risk shall be binding upon my heirs, executor(s) and successors.

Please acknowledge by selecting AGREE below:

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