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REGISTRATION
FORM
For Classes April 26th- May 17th
(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 May 2nd. The cost of a single class ($10) 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 duty to exercise ordinary care
for the protection of others and myself while attending
yoga class at Friendship Yoga. I assume the risk of physical
activity with my own physical condition. I have received
advice from my doctor that I am capable of physical exercise
such as provided by Friendship Yoga, or I will seek such
advice, or I will assume the risk of exercising without
a doctor’s examination.
I take
complete responsibility for my 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_________
Parents’s/Guardian’s
signature if student is under 18: Signature_____________________________________________Date_________
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”.
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