Adult Programs Registration Form

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Personal Information:

Your Name (required)

Your Email (required)

Mobile Phone (required)

Whatsapp (if different from mobile phone)

Street Address

Street Address Line 2

Emergency Contact:

In the event of an emergency, please identify an adult who we should call.

Name

Mobile Phone

Relationship

About You:

This will help us support your yoga practice.

Have you ever practice yoga before?

Are you pregnant? If yes, what trimester?

Do you currently have any injuries? If yes, please explain.

*Please consult your doctor if you are unsure if you can practice yoga with your injury.

Do you currently have any medical conditions? If yes, please explain.

*Please consult your doctor if you are unsure if you can practice yoga with your medical condition.

Liability Disclaimer & Notices:

Please read carefully.

I hereby acknowledge the following notices and grant to Yoga Joy Saigon the following release from liability:

I acknowledge and fully understand that I will be engaging in physical activities that may involve some risk of injury. I acknowledge and have been advised that it is my responsibility to consult with my physician with respect to any past or present injury, illness, health problem or any other condition or medication that may affect my participation. I assume the foregoing risks and accept full personal responsibility for any personal injuries sustained by myself which might incur as a result or participating in this program. I discharge and hold harmless Yoga Joy Saigon, its owners, directors, members, employees and agents from any claim, cause of action or liability for damages arising from any personal injury caused by my participation in the Yoga Joy Saigon program. In the event of an emergency, and when one's emergency contact can not be reached, I allow the Yoga Joy Saigon teacher to contact emergency services if deemed necessary.

I agree to give Yoga Joy Saigon permission to use photographs of me for any Yoga Joy Saigon promotional materials. I understand that I will not be identified by name, nor will any compensation be extended for such use.

I acknowledge that I have read and agreed to the aforementioned Liability Disclaimer & Notices.