REGISTER FOR TEEN YOGA HERE!

Name *
Name
Address
Address
Phone
Phone
Date of Birth *
Date of Birth
Parent/Guardian Name *
Parent/Guardian Name
Phone *
Phone
Please provide details of any medical or physical conditions that may restrict or affect you/your child during yoga. Please also include Additional Needs diagnosis if applicable.
To Be Completed by Parent/Guardian *
I acknowledge and fully understand that my child, named above, will be engaging in physical activities that may involve some risk of injury. I assume the foregoing risks and accept full personal responsibility for any personal injuries that may be sustained by my child. I acknowledge and have been advised that it is my responsibility to consult with my child's doctor with respect to any past or present injury, illness, health problem or any other condition or medication that may affect my child's participation.
Your/your child's happiness is very important to us. We aim to provide the best possible experience. To do this we'd like to know a little more about our young yogis. For example: Why are you/they coming to yoga? What are you/they hoping to experience in yoga classes?