Christian Yoga Registration & Participation Waiver
Wednesdays / Jan 15th - Feb 19th / 6:30-7:15 pm

Chesapeake Community of Hope
1009 Scenic Pkwy, suite J, Chesapeake, VA 23323

757.436.0079 / /

Email address *
First Name *
Last Name *
Phone Number *
Address *
Level of experience with Yoga *
I recognize that I am participating in a Yoga Class, in which I will receive information and instruction about yoga and health, and that yoga requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Yoga Classes. I represent and warrant that I am physically able to participate and I have no medical condition that would prevent me from participating in the Yoga Class. In consideration of being permitted to participate in Yoga Classes with Ryan Kassiris, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of participating in the program. In further consideration of said Yoga Classes, I knowingly, voluntarily, and expressly waive any claim I may have against Ryan Kassiris for injury or damages that I may sustain as a result of participating in the program. I, my heirs and/or legal representatives forever release, waive, discharge, and covenant not to sue Ryan Kassiris for any injury or death sustained from or during the Yoga Class.
I have read and accept the above Disclaimer *
By typing my name below, I am registering for Christian Yoga at CCOH. *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy