Child's Name(s) *

Add multiple names if you have multiple children attending.

First Name

Last Name

Parent Emergency Phone *

Please let us know where we can reach you quickly in case of an emergency.

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Waiver of Liability *

By submitting this digital waiver, I understand that Yoga includes physically demanding exercises as well opportunities for stretching, strengthening, meditation, and relaxation. As is the case with any physical activity, I accept that the risk of injury (even serious injury) is always present and cannot be entirely eliminated. I hereby agree to the following: • I am fully aware of the risks and hazards involved in practicing Yoga and Yoga-related modalities at Yoga Grace. • I represent and warrant that my child is physically fit and has no medical condition(s) that would prevent their full participation in a Kids Yoga class. • I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which I might incur as a result of my child's participation. • I knowingly, voluntarily and expressly waive any claim I may have against Yoga Grace, its owners, instructors, workshop and training presenters, independent contractors, employees, volunteers, and representatives, for any injury my child sustains as a result of their participation.

Yes, I have read, understand and agree to the terms and conditions above .

Parent/Caregiver's Name *

First Name

Last Name