Nest Yoga Summer Camp for Girls 2019
Thank you for your interest in Nest Yoga's Summer Camp for Girls! This registration form will hold your spot. Following your registration you will receive an email with payment instructions. Payment is due in full by July 3rd, 2019.
Email address *
Child's name *
Your answer
Parent/Guardian name *
Your answer
Parent/Guardian contact phone number *
Your answer
Email *
Your answer
Secondary Parent/Guardian contact name *
Your answer
Secondary contact phone number *
Your answer
Individuals authorized to pick my child up from camp *
Your answer
Available session - select the full week or specific dates for attendance *
Required
I will send $260 per session via: *
Please type your name in the line below to agree to the following waiver: I choose to allow my child to participate in the yoga camp offered by Nest Yoga, LLC, and recognize that yoga classes require physical exertion which may cause physical injury. I am fully aware that there are possible risks involved. I understand that it is my responsibility to consult a physician prior to participating in yoga classes. I warrant that my daughter is physically fit and does not have medical conditions which would prevent participating in yoga classes. I agree to assume full responsibility for any injuries sustained and I release Nest Yoga, LLC, from any and all liability as a consequence of participation in Nest Yoga's Summer Camp for Girls. I have read and fully understand this consent form / waiver & release and accept its contents: *
Your answer
Please list any food allergies or write "none" *
Your answer
Does your daughter currently have a yoga or mindfulness practice? *
Your answer
Any additional information you would like to share? *
Your answer
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