Just Mimi Yoga 121 registration
Thank you for your interest into private Yoga sessions, I very much look forwards to meeting you and sharing the magic of Yoga and Meditation.
Name *
Your answer
Email *
Your answer
Age
Do you have any medical conditions or injuries I should be aware of ?
Your answer
Any further information that you would like to share, so I can tailor the session to your specific needs.
Your answer
Emergency Name and contact number *
Your answer
I agree class payment for all sessions must be made in full, if less than 24 hours notice is given then 100% payment required, less than 48 hours 50%. Preferable PayPal to PayPal.me/justmimi *
Waiver
LIABILITY/ STUDENT WAIVER AGREEMENT


I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly.


Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Just Mimi at justmimiuk@gmail.com

Please agree to the above waiver *
Date *
MM
/
DD
/
YYYY
Do you give consent to be added to the Just Mimi mailing list *
Thank you
For taking the time to fill in your details, I look forwards to meeting you very soon. If you have any further questions, please do not hesitate to get in touch

Love

Just Mimi

www.just-mimi.com

Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service