Effingham Public Library Outdoor Yoga -
Complete the following form to register for outdoor yoga on Thursdays, July 22nd - August 26th @ 9:30 am
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Email *
Please include your full name. *
What is your phone number? *
Please include your mailing address. *
What is your yoga experience?
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Are there any medical injuries or issues your instructor should know about?
Please list your emergency contact name and phone number. *
I hereby agree to the following: I am participating in the EPL Yoga Class. I recognize that yoga may require some physical exertion, which 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 class. I represent and warrant that I am physically fit and I have no medical condition which I have read the above would prevent my full participation in the yoga class. In consideration of being permitted to participate in the EPL Yoga Class, 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 being permitted to participate in the EPL Yoga Class, I knowingly, voluntarily and expressly waive any claim I may have against the instructor, the property owners, and class/workshop Sponsor, for any injury or damages that I may sustain as a result of participating in the program. I, my heirs or legal representatives, forever release, waive, discharge and covenant negligence or other acts.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. Please type your name as your electronic signature. If a participant is under age 18, a guardian must sign the waiver. *
Date *
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