Fertility & Prenatal Yoga Registration
Ongoing sessions throughout your journey to Motherhood! *FREE audio recordings after each class sent to your email 24-48 hours after the class. Also, a FREE Night Before IUI/IVF meditation that I created for you to do to prepare your mind and body for the procedure.
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Email *
Name *
Are you interested in joining the Group Fertility & Prenatal Yoga Sessions or Private Sessions? *
Emergency Contact Name and Phone Number *
How did you hear about My Yoga RN Yoga Program? *
How long have you been trying for a baby? *
Will this be your first pregnancy? *
Informed Consent and Waiver of Liability -  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. Checking the I agree box below will serve as my signature, and 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 Sherry Longbottom 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 session taught by Sherry Longbottom. By checking the I agree box below, I further acknowledge that I shall not now, or at any time in the future, bring any legal action against Sherry Longbottom; 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 taught by Sherry Longbottom, 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 (by checking I agree box below) 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 (by checking I agree box below) is binding to this liability waiver from this day forth.       *
Date Completed *
Opt-in to Freebies, Fertility tips and more with Sherry's free e-newsletter *
Any additional info you'd like to share before you start class?
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