Yoga Program for Children: Registration Form
Please join us for yoga classes that will focus on holistic approach by applying special yogic techniques, which will help your not only learn how to live healthier life but help them to develop self-confidence, improve concentration, increase their creativity and manage their day-to-day stress. This yoga curriculum is especially designed for kids , and will focus on 3 key aspects, which impacts most kids - High level of Stress, lack of concentration, and wavering resilience.
Student's First Name
Your answer
Student's Last Name
Your answer
Parent's/Guardian's Name
Your answer
Parent's/Guardian's Phone
Your answer
Parent's/Guardian's Email
Your answer
List any known Medical Conditions(if any)
Your answer
Disclaimer(Type Parent's/Guardian's Full Name)
I certify that I am the parent or legal guardian and do hereby consent to his/her participation in the yoga classes for kids run by Icontrolmyhealth, Inc. I certify that my child is capable of participating in the program and have disclosed all relevant medical information. On behalf of myself, and the personal representative thereof, I hereby release, hold harmless, defend and indemnify Icontrolmyhealth, Inc., their officers, directors, and teachers, from any and all costs, claims, losses, liabilities related to my child’s participation in the Yoga Classes for Kids. In signing this release, I have fully informed myself of the content of this release and I have reviewed it, and this release is signed as my own free act and deed.
Your answer
Do you want to enroll another child?
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