Yoga Class Registration/Waiver for New Participants
Fall Yoga Sessions , 5 class passes/$45.00.
Select Base Class *
Required
Your experience level in the class you wish to join.
Do you have medical clearance to participate in an exercise/fitness activity for which you are registering? *
Are you a member of the Milford Lantz United Church? (Not required)
Email *
Your answer
First Name *
Your answer
Last Name *
Your answer
Phone # *
Your answer
Mailing Address (with postal code, please) *
Your answer
Do you have any physical issues of which your instructor should be aware? If yes, please choose 'other' and list issues. *
Example of the WAIVER that will be prepared for you to sign. (No need to print this form it will be ready for you to sign at the first class)
Participation in Yoga classes includes, but is not limited to, participation in meditation techniques, yogic breathing techniques, and performing various Yoga postures. Yoga postures, or asanas, are designed to exercise every part of the body - stretching and toning the muscles and joints, the spine and the entire skeletal system. They also work on the internal organs, glands and nerves. Yoga incorporates sustained stretching to strengthen muscles and increase flexibility. Yoga and physical exercise is an individual experience. I understand that in Yoga, and in any other exercise class, I will progress at my own pace. If at any point I feel overexertion or fatigue, I will respect my own body's limitations and I will rest before continuing Yoga or any other exercise. By signing my name below, I acknowledge that participation in Yoga classes or any other exercise class exposes me to a possible risk of personal injury. I am fully aware of this risk and hereby release Kerry Parsons from any and all liability, negligence, or other claims, arising from, or in any way connected, with my participation in Yoga and any other exercise class. My signature further acknowledges that I shall not now, or at any time in the future, bring any legal action against Kerry Parsons; and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. My signature verifies that I am physically fit to participate in Yoga classes, or any other exercise classes, and a licensed medical doctor has verified my physical condition for participation in this type of class. If I am pregnant, or become pregnant, or am post-natal, my signature verifies that I am participating in Yoga, or any other exercise classes, with my doctor's full approval. I realize that I am participating in Yoga, or any other exercise classes, at my own risk. My signature is binding to this liability waiver from this day forth.
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The current year is 2018, what was last year? *
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