Adult Public Community Class Registration Form
DONATION and GIFT ECONOMY: We are a 501c non-profit organizations and our donations are tax-deductible. While outside yoga classes are $12-$14 per class, would would kindly request you to consider donating an average of $6-$8 per class on a monthly basis; $30-$50 per month?. Please talk to us about Monthly donation setup. Support our classes by your generous donations. This helps us pay some of our yoga teachers and to administer these classes for smooth running. These people work for their livelihood and also do a noble service along the way. Also this Gift economy money will help us bring yoga programs to the community who cannot afford to pay. Donate using Secure Paypal or Credit Card method - http://yogabharati.org/donate
First Name *
Enter your First name
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Last Name *
Enter your Last name
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Email ID *
Enter valid Email id - this is our primary way to reach you
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Cell Phone Number *
Enter phone number to reach you if class schedule changes last minute
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Other Phone Number
Enter phone number to reach you if class schedule changes last minute
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Address
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City *
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State *
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Zip
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Class Code *
Check applicable Class Code based on the list from the page www.yogabharati.org/workshops/ba
How did you come to know about us? *
If Friend, whom do we thank?
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Medical Condition if applicable
Have you done yoga before? *
Number of Years of type 0 if none
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Emergency Contact Name *
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Emergency Contact Number *
Your answer
Mailchimp Newsletter Subscription *
We are adding you to our Mailchimp Mailing list. This helps you to be informed of our class schedules, our workshops, retreats and other events. We do not spam you with too many emails. Expect an average of 2 newsletters per month. You may unsubscribe anytime if you do not wish to see these messages.
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DONATE AND SUPPORT
We plan to launch a seva project to provide FREE Yoga Rehabilitation for low income cancer patients. Help us. Outside studio rate for yoga is $15-$20. Can we request you to consider donating $7-$10 per class or $50 per month?. Donate at: http://yogabharati.org/home/pay-for-classes/
Gift Economy Donation? *
Please donate to support the classes; Part of the donation is given to the temple and other part is used toward Cancer Rehabilitation for Low income patients
Final Step: JOIN OUR MAILING LIST
Our classes can get canceled when temple premise is not available and we inform by emailing you. We send announcements about our workshops and newsletters and we do not spam you with too many emails. Please join our mailing list to get schedule change announcements. You can send email to sunnyvale-temple+subscribe@yogabharati.org or if you are logged in using gmail id you can use the URL HERE - https://groups.google.com/a/yogabharati.org/forum/#!forum/sunnyvale-temple/join
Informed Consent and Release of Liability
1. In consideration of being allowed to participate in the activities of yoga and associated exercises (asanas) conducted by Yoga Bharati and to use its rented facilities and equipment in addition to the payment of any fee or charge, I do hereby waive, release, and forever discharge Yoga Bharati, its instructors, volunteers, representatives and contractors from any and all responsibilities or liability from injuries or damages resulting from my participation. I also do hereby waive, release, and forever discharge the premises (where yoga is conducted), its trustees, and employees, representatives from any and all responsibilities or liability from injuries or damages resulting from my participation in any activities or my use of the facilities.

2. I understand and am aware that strength, flexibility, yoga, and other exercises are a potentially hazardous activity. I also understand that yoga and fitness activities involve a risk of injury and even death, and that I am voluntarily participating in these activities with knowledge of risks and dangers involved. I hereby agree to expressly assume and accept any and all risks of injury or death. This waiver is also binding on all my heirs, executors, and others acting on my behalf.

3. I do hereby further declare myself to be suffering from no condition, impairment, disease, infirmity, or other illness that would prevent my participation in this yoga programs. I understand that it is my responsibility to consult with my physician prior to initiating any yoga program. I also understand it is my responsibility to consult with my physician about all health-related changes that may result from the yoga program. I understand that certain physiological changes are associated with exercise and yoga, some of which can pose health risks. I acknowledge that I have either had a physical examination and been given permission by my physician to participate or that I have decided to participate in activities and use equipment without the approval of my physician and do hereby assume all responsibility for my participation in my activities.

4. I understand it is my responsibility to notify my instructor(s) of all-physical conditions, injuries, and illnesses.

Signature *
Please type your name as a sign of Acceptance
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