last name ___________________________________ first name ______________________ initial _____
home, work or cell phone _________________________________________________________________
address ________________________________________________________________________________
city ________________________________ state __________________ zip ________________________
e-mail address ___________________________________________________________________________
medical alert (injuries, physical limitations, etc.) _______________________________________________
_______________________________________________________________________________________
how did you hear about All About Yoga? ____________________________________________________
class or workshop you are registering for:
__________________________________ │ day ________________ │ time ___________ │fee ________
__________________________________ │ day ________________ │ time
___________ │fee ________
total ________
Refund Policy: A student who cancels up to 48 hours in advance of
the class or workshop is entitled to 1) A refund of the total fee paid
minus a $20 processing fee OR 2) A full credit which is valid for 3
months from the date of cancellation. For cancellations made within
48 hours of the class or workshop, no refunds are available and the
student will be issued a full credit minus a $20 processing fee which
is valid for 3 months from the date of cancellation. No refunds or
credits will be given for cancellations made after the first day of
class.
Participation in yoga classes includes, but is not limited to, participation
in meditation techniques, yogic breathing techniques, and performing
various yoga postures. Yoga postures, or asanas, are designed to
exercise every part of the body - stretching and toning the muscles
and joints, the spine and the entire skeletal system. They also work
on the internal organs, glands and nerves. Yoga incorporates sustained
stretching to strengthen muscles and increase flexibility.
Yoga is an individual experience. I understand that in yoga class I will progress
at my own pace. If at any point I feel overexertion or fatigue, I will respect
my own body's limitations and I will rest before continuing yoga practice.
By signing my name below, I acknowledge that participation in yoga classes
exposes me to a possible risk of personal injury. I am fully aware of this
risk and hereby release The Stress Management Center of Nevada, Kathleen Grace
Santor and any other persons who may teach at SMCN from any and all liability,
negligence or other claims arising from or in any way connected with my participation
in yoga class.
My signature further acknowledges that I shall not now or at any time in the
future bring any legal action against The Stress Management Center of Nevada,
Kathleen Grace Santor and any other persons who may teach at SMCN; and that
this waiver is binding on me, my heirs, my spouse, my children, my legal representatives,
my successors and my assigns.
My signature verifies that I am physically fit to participate in yoga classes
and a licensed medical doctor has verified my physical condition for participation
in this type of class. If I am pregnant or become pregnant or am post-natal,
my signature verifies that I am participating in yoga classes with my doctor's
full approval. I realize that I am participating in yoga classes at my own
risk. My signature is binding to this liability waiver from this day forth.
date _________________________ signature _________________________________________________
IF UNDER 18 YEARS OF AGE
as legal guardian of ________________________________ we consent to
the above conditions ___________________________
We would be happy to take your registration over the phone using your credit card! 702.458.8088 (*$3 service fee applies)