DURHAM STUDIO ENLIGHT - Yoga Registration Form
In consideration of my being permitted to participate in Yoga activities at DURHAM STUDIO ENLIGHT LLC, I, for myself, my heirs, legal representatives, and assigns, do hereby release said activity, the activity instructor, Jessica Sheppard, and any person responsible for organizing and/or overseeing the activity at the location where the said activity will be conducted, from all suits, claims or demands of any kind, which may result from any injury, loss or damage of any kind, arising out of or in connection with my participation in said activity.
Participant Full Name (First Last)
Age or Birthday
Sign up for Integral Hatha Yoga 75 minute class
5 - class pass ($75 - $15 per class)
10 - class pass ($140 - $14 per class)
Single class (drop-in $17)
Sign up for Walking Meditation 30 minute class
12 - class pass ($108 - $9 per class)
Single class (drop-in $10 per class)
Sign up for Private Instruction - I will contact you to set up an appointment. $75 per hour
10% Discount Qualification
Military & Veterans
Emergency Contact (Full Name and Phone Number)
Employer and nature of work
What benefits do you expect to realize from practicing yoga?
Previous yoga experience - style, duration, etc.
Any other sports or physical activities you participate in?
Any medical conditions the instructor should be aware of? (including high blood pressure, past surgeries, serious illness, etc.)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service