|
REGISTRATION
FORM
For Classes May 3rd - June 14th
(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 5/10. The cost of a single class ($12) 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, Jen 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.
Note:
in the event of a bad weather cancellation, we will email
you by 8 a.m. Saturday morning. If you don’t hear from
us, the class is “on”.
|
