Yoga Class Registration and AgreementInstructor: Kristi Corlett Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### I wish to attend the following class: * Lila Yoga Thursdays 4:45-6:00 p.m. Gentle Yoga for Seniors Your Yoga Custom One-on-One Sessions I'd like to book a private class for a group My personal goals in attending this class include: Fitness Health Maintenance Relaxation Self-Development Education Community Other goals: Please list any physical or medical condition(s) that may limit your participation in physical exercise. Please inform your instructor directly of any physical challenges you may be experiencing, or any changes in your condition. * Do you have any questions for your instructor before beginning? AGREEMENT * I certify that the above information is true and complete to the best of my knowledge. I fully understand that this class is educational and is offered in an online format. I fully understand that I am solely responsible for my health, safety and well-being while participating. I agree that I will inform my instructor of any activity which I cannot safely perform, and that I will not perform any activity which I feel is likely to cause me to injure myself. I agree to hold the instructor harmless from any and all responsibility for any injury that I may sustain during or as a result of my practice. In order to protect the privacy of all participants, no class will be recorded by me or the instructor without prior consultation and consent of all parties. I understand that class fees are $120 for 8 weeks or $20 drop-in per individual class. Payment due 24 hours prior to start of session. Yes, I agree No, I do not agree Thank you!