To register for a class please fill out this form and send it with your check to Friendship Yoga, 1231 Gilbert Court, Iowa City, IA 52240. No e-mail or phone registrations. Register early to avoid disappointment. Class size is limited and classes do fill. We do not confirm registrations. You will be contacted only if the class you request is full. If you have any injuries or health concerns, please check with your doctor before registering for this class.

Your employer’s benefits/wellness program may reimburse you for yoga class fees. Please check with your human resources department, and Friendship Yoga will be happy to provide you with a receipt.

Name: ______________________________________________ Class choice (1): ________________  Class choice (2) _______________ Address: ______________________________________________ Home phone: ___________________ Work phone:________________ Email: ______________________________________________ Can you make a donation to our scholarship fund? Please make your check out to the Maitri Yoga Education Fund (MYEF), and include it with your registration. Your support will be greatly appreciated.   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, any substitutes or Friendship Yoga Ltd. responsible for any injuries or loss I 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. Furthermore, I have read your refund policy.   Signature_____________________________________ Date_________ Parent’s/Guardian’s signature if under 18:_________________________