Yoga | Official Registration Form w/ YogaWaiver

2. 

4. YOSOUL YOGA

6. Participant's Name*

7. Cost*

8. Sex
   -- Select One --MaleFemale

10. Email Address*

11. Phone*

13. Address*

14. City, State*

15. Zip Code*

17. Yoga Experience Level*
    -- Select One --BeginnerIntermediateAdvanced

18. Would you like to receive emails from Yolanda Rivers about other Yoga opportunities?*
    -- Select One --YesNo

20. Please list any injuries, medical issues, and/or important medical history. If none, include "None."*

21. Emergency Contact (Name & Number)*

23. No refunds will be given after the start of a registered program or special event. If refund is granted, there is a thirty (30) day check processing period.

25. LIABILITY 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.

    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.

27. 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 in-person or virtually. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Yolander Rivers, RYT and/or YoSoul Yoga, LLC.

    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 in-person or virtually. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Yolander Rivers, RYT and/or YoSoul Yoga, LLC.

29. I have read and fully understand and agree to the above stated conditions of participation in this program.

30. Electronic Signature Authorized*

    1. YES

32. 

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34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

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