Mindful Little Things Permission Forms
Liability Waiver
Mindful Little Things wants to ensure that everyone who participates in a yoga program with Mindful Little Things has a safe, enjoyable experience, so please review the following information and sign below.
You must submit this form before your child can participate in any yoga programs facilitated and
instructed by Mindful Little Things.
I understand that yoga includes physical movements. As is the case with any physical activity, the risk of injury is always present and cannot be entirely eliminated. I, as the parent/guardian of the minor child participating in class, am aware that participation in a sport or physical exercise, such as yoga, may result in accident or injury, and hereby assume the risk connected with any participation from myself or Mindful Little Things and its instructors.

I acknowledge that Mindful Little Things and its Instructors have not and will not render any medical services including medical diagnosis of my child’s physical condition.

I hereby agree to irrevocably release and waive any claims that I and/or my child/children have now or hereafter may have against Mindful Little Things and it’s Instructors or any affiliates associated with Mindful Little Things and the schools/daycares/park/facility in which the yoga program is held.

I specifically agree that Mindful Little Things and it’s Instructors shall not be liable for any claim, demand, cause of action of any kind whatsoever for, or on account of, any kind of personal injury, property damage or loss of any kind resulting from or related to my child’s use of the facilities or participation in any exercise or activity within the Mindful Little Things, and I agree to hold Mindful Little Things and it’s Instructors harmless from same.

I have read the above release and waiver of liability and fully understand its contents.  I voluntarily agree to the terms and conditions stated above.
Parent/Guardian Name *
Your answer
Child's Name *
Your answer
Child's Date of Birth *
Your answer
My child has permission to attend/participate in a yoga class/program facilitated by Mindful Little Things *
Which program / event will your child be participating in? *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Photography and Social Media Consent Form
Mindful Little Things has the goal to promote children’s yoga and mindfulness within our community and city, therefore we use a website, social media accounts, paper/electronic advertisements to assist in achieving our goal. Our mission is to create a collection of resources for educators, children and families to encourage yoga and mindfulness in everyday life.
There are two options available. Please select which option you feel most comfortable with: *
Electronic Signature *
Your answer
Date *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy