All-Abilities Yoga Class Registration and Release
registration and release for kids all abilities classes/camp with GoodYoga/ Heather Hopper
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Email *
Child's Name *
Age *
Parent Name *
Phone number *
Address *
Campus *
Special Diagnoses *
Allergies, including foods and aromatherapy/essential oils *
Registration complete with payment by Venmo to @Heather-Hopper-GoodYoga  or Zelle to 214-533-3856 *
I hereby give permission for my child *
CHILD WAIVER (to be signed by parent)I, the undersigned parent or guardian, understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment.  In the case where my child has an injury, illness or anything else that may be affected by physical activity, I have consulted with a physician that my child can take a yoga class.  I recognize that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class.  In further consideration of permitting my child to participate in the yoga class, I knowingly, voluntarily and expressly waive any claim I may have against Heather Hopper and the owner/lessor of the Premises for injury or damages that my child may sustain while on the Premises as a result of participating in the yoga class.  I, my heirs or legal representatives irrevocably covenant not to sue and forever release, waive, and discharge any other claims of any kind whatsoever against GoodYoga, Heather Hopper, The Mat Yoga Studio, or the owner/lessor of the Premises for any personal injury, property loss or damage, or wrongful death, whether caused by negligence or otherwise.  I have read the above release and waiver of liability and fully understand its contents.  I voluntarily agree to the terms and conditions stated above.  I accept that neither the instructor, nor the hosting facility is liable for any injury,  or damages, to person or property, resulting from the taking of the class.  This form must be signed by a parent or guardian.  E-signature by providing full name, below.
ILLNESS: If a child or family member develops vomiting, diarrhea, a fever over 100 degrees, COVID-19 or flu-like symptoms, parent or guardian agrees to notify Ms Heather and keep the child at home.       
E-SIGNATURE DIGITALLY BY TYPING FULL NAME.
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