Yoga Fundraiser for Penngrove Elementary
Saturday, March 13th, 9am, PST.
Thank you for donating to the Penngrove Elementary Jog A Thon! Please fill out the information below.
First and Last Name *
Mailing Address *
Email *
Suggested Donation $15-20 *
Please Venmo or Mail your Donation ~ Thank you!
Required
Tess Conrad Yoga Waiver & Release Form
I hereby agree to the following: 1. That I am participating in Yoga Classes, Outside Yoga Fitness Classes, Hiking, Nutrition, Meditation, Private Lessons, Health Programs, Healing, Quantum Healing, Empathetic TouchTM, Teacher Trainings and / or Workshops offered by Tess Conrad, Tess Conrad Yoga, during which I will receive information and instruction about yoga, health, healing, and wellness. I recognize that yoga requires physical exertion, which may be strenuous and may cause physical injury, I am fully aware of the risks and hazards involved. 2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in the Yoga Classes, Outside Yoga, Fitness Classes, Hiking, Nutrition, Meditation, Healing Classes, Quantum Healing, Private Lessons, Health Programs, Teacher Trainings and / or Workshops. I represent and warrant that I am physically fit (and/or my child) and I have no medical condition, which would prevent my full participation in the Yoga Classes, Fitness Classes, Nutrition, Meditation, Healing Classes, Quantum Healing, Private Lessons, Health Programs, Teacher Trainings or Workshops. 3. In consideration of being permitted to participate in Yoga Classes, Outside Yoga, Hiking, Private Lessons, Health Programs, Healing Classes, Quantum Healing, Teacher Trainings and / or Workshops, I represent and warrant that I am physically fit and I have no medical condition, which would prevent my full participation in the program.
4. I, my heirs or legal representatives forever releases, waive, discharge, and covenant not to sue Tess Conrad or Tess Conrad Yoga for any injury or death caused by their 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.
By typing my name below I consent to the terms and conditions of the waiver and release form. *
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