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REGISTRATION FORM
(print and submit with payment)
Registration is due prior to the meeting of the first class. Classes may be cancelled due to insufficient enrollment. Class size is limited. To avoid disappointment register early! NO refunds after 9/21. The cost of a single class ($13) and a $15 administrative fee will be deducted from your refund. No phone or electronic registrations are accepted. We do not confirm registrations. You can assume that your registration was accepted unless you hear from us. Please detach this form and send with your check to: Friendship Yoga, 1231 Gilbert Court. Iowa City, IA 52240. No refunds for missed classes or transfers to another session.
Name ________________________________________________________________
Address_______________________________________________________________
Parent's Home Phone: _____________________ Work:________________________
Parent's E-mail:________________________________________________________
Waiver of Liability and Informed Consent
I acknowledge that it is my child’s duty to exercise ordinary care for the protection of others and her/himself while attending yoga class at Friendship Yoga. I assume the risk of physical activity with his/her own physical condition. I have received advice from my doctor that my child is capable of physical exercise such as provided by Friendship Yoga, or I will seek such advice, or I will assume the risk of her/ he exercising without a doctor’s examination.
I take complete responsibility for my child’s presence at the Friendship Yoga Studio and I will not hold Nancy Footner, Jenn Bowen or any substitutes or Friendship Yoga Ltd. responsible for any injuries or loss my child may incur as a result of my participation in any yoga class or discipline now or in the future.
I hereby confirm that I have read and fully understand this release of liability and assumption of risk agreement, fully understand its terms, and sign it freely and voluntarily without inducement. I also understand and agree to the refund policy.
Signature_____________________________________________Date_________
Parent’s/Guardian’s signature is required.
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