Registration: 5pm Monday Yoga
You are registering for Heart Opening Yoga:
Mondays 5-5:45pm
October 9 - November 13

This will be a 6 session class building on heart-opening yoga postures, incorporating Scripture meditation and worship music to strengthen your body and your spirit.

>>This class is suitable for beginners or advanced students.<<

Taught by registered Holy Yoga instructor, Melanie Eccles
Location: Monroe Free Methodist Church (3928 E. Dunbar Rd. Monroe, MI)

$30 for 6 week class, due at first class via cash or check (to Melanie Eccles).
or feel free to drop in any time for $10 per class.

First Name *
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Last Name *
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Birth Date (If under 18)
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Guardian/Parent Name (if under 18) *
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I am a returning registrant
Email
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Cell Number
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Would you like to receive text notifications?
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Mailing Address
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What is your prior yoga experience?
Are you new to yoga? Have you done a few classes via youtube? Do you practice regularly?
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Do you have any questions or suggestions?
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I understand that the $30 registration fee will be due at the first class. (Drop in Rate = $10) *
Cash or check to "Melanie Eccles."
Required
Waiver *
By signing below, I hereby consent as a participant in Holy Yoga classes and agree to assume all of the risks involved. I understand that Holy Yoga does not provide medical insurance relative to accidents, injuries, and/or death as a result of program related activities; and that I can not hold Holy Yoga or affiliated Holy Yoga teachers personally responsible for any liability. I recognize that any form of physical activity is a potentially hazardous one, and that they involve a risk of possible injury or even death. I hereby affirm that I am voluntarily participating in these activities with the knowledge of the risk involved. I agree to expressly assume and accept any and all risks of injury and/or death. I hereby affirm myself to be physically sound and suffering from no condition, aliment, impairment, disease, or other illness that would prevent my participation in Holy Yoga activities, I declare that I have disclosed any and all medical history to Holy Yoga and/or their affiliates relevant to participation. I hereby release Melanie Eccles or Monroe Free Methodist Church from any injury or risk involved in my participation of this yoga class.
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Under 18 Waiver
By signing my name below, I hereby grant permission for my child to participate in this Holy Yoga Class. I understand that Melanie is *not* certified as a Holy Yoga Kids instructor and I give my permission for her to teach my child. I agree to register for the class and participate along with my child. I hereby release Melanie Eccles or Monroe Free Methodist Church or Holy Yoga Ministries from any injury or risk involved in my child's participation of this yoga class.
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