Laura de Leon's Yoga Summer Series - Waiver Form
**Please note, all of the information on this form is kept confidential.
REGISTRANT DETAILS - NAME *
Email *
Address - Physical Address, City, State, Zip Code *
Phone number *
Emergency Contact Name & Relation *
Emergency Contact Phone Number *
Have you practiced Yoga before? *
Limitations/Injuries *
Waiver *
Required
Registrant's Full Name - Signature *
Date Form Completed *
MM
/
DD
/
YYYY
Parent/Guardian Full Name - Signature
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