Registration: EASE Drop-In

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I am so excited that you are registering to join in an EASE yoga class!

Please consider your registration complete once this form is completed and your $15 payment is provided via PayPal or e-transfer to: 𝗵𝗲𝗹𝗹𝗼@𝘆𝗼𝗴𝗮𝘄𝗶𝘁𝗵𝗰𝗮𝗿𝗼𝗹𝘆𝗻𝗻𝗲.𝗰𝗼𝗺. You will receive a detailed email confirmation within 24 hours of the payment being received.

I look forward to practicing some yoga with you!

Contact Information

If you have participated in a yoga class with me before, you can skip the questions that aren't required! :)

First and Last Name (required) *

Email Address (required) *

Emergency Contact's Name

Emergency Contact's Phone Number

Do you have any physical limitations that could be aggravated by exercise? If so, please explain:

Please read the following and check the boxes to agree.

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. If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor. I assume full responsibility for any and all damages, which may incur through participation.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. By agreeing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program. In addition, I will make the instructor aware of any medical conditions or physical limitations before class. If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate. I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk. I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against Yoga with Carolynne (Carolynne Colbeck).

I have read and fully understand and agree to the above terms of this Agreement of Release and Waiver of Liability.

Where did you hear about this offering? (newsletter, Facebook, website, YouTube, referral)

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