Yoga Sol Kids Winter, 2016 Registration
To enroll: Mail (or drop in Yoga Sol mailbox) printed page to:
Yoga Sol, 5 Old Post road So.Croton on Hudson, NY 10520.
Cash or check (payable to Yoga Sol).
Enrollment is limited and on a first come, first serve basis.
Spots are not held unless enrollment form and full payment is received. No refunds given, unless class is cancelled.
Participant:______
Age:______Grade:______
Parent/s______
Address: ______
City: ______State:______Zip:______
Home Phone:______Cell:______
Email:______
Emergency Contact: ______phone:______
Briefly explain any condition/s that may limit student’s participation in class:
YOGI BEANS (2-4) Storybook yoga-
10 classes- $190.
Thursdays12:15pm-1:00pm, Kiernan Villeneuve____
Jan 7-March 17 (no class 2/18)
YOGI BEANS (2-4) Bust a Move-
10 classes- $190.
Thursdays12:15pm-1:00pm, Ashley Steele____
Jan 6-March 16 (no class 2/17)
BUDDING YOGIS (5-9)-10 classes- $190.
Mondays 3:15-4:00pm, Kristy Cohen____’
Jan 4-March 12 (no class 1/16 or 2/15)
Tuesdays 4:15-5:00pm, Kristi Lynch ____
Jan 5- March 15 (no class 2/16)
TWEEN YOGA (Girls 10-13)- 10 classes- $190.
Thursdays 4:30-5:30pm, Cathy Anfiteatro____
Jan 7-March 17 (no class 2/18)
Fridays 3:30-4:30, Kristy Cohen______
Jan 8-March 18 (no class 2/19)
LITTLE WARRIORS (Boys 9-13) -10 classes- $190.
Thursdays 3:30-4:15pm, Kiernan Villeneuve____
Jan 7- March 17 (no class 2/18)
AGREEMENT OF RELEASE AND WAIVER OF LIABILITY
I,______hereby agree to the following:
studentname______will be participating in yoga classes, health programs or workshops offered by Sol Yoga LLC, during which they will receive information and instruction about yoga and health. I recognize that yoga requires physical exertion that may be strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. 2. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in yoga classes, health programs or workshops. I represent and warrant that the participation is physically fit and has no medical conditions that would prevent the participant’s full participation in the yoga classes, health programs or workshops. 3. In consideration of being permitted to participate in yoga classes, health programs or workshops, I agree to assume full responsibility for any injuries, damages, known or unknown, which I might incur as a result of participating in the program which I might incur as a result of participating in the program. 4. In further consideration of being permitted to participate in yoga classes, health programs or workshops, I voluntarily and expressly waive any claim that I may have against Yoga Sol for injury or damages that I may sustain as a result of participating in the program. 5. I, my heirs, or legal representatives forever release waive, discharge and covenant not to sue AlexaOth, Cathy Anfiteatro, Kristi Lynch, Kiernan Villenueve or Kristy Cohen for injury or death caused by their negligence or other acts. 6. I agree to give Yoga Sol permissionto use photographs of myself or my child for yogasol promotional materials, Internet use, Facebook postings, etc. I understand that my child will not be identified by name, nor will any compensation be extended for such use. I have read the above release and waiver of liability and fully understand its content. I voluntarily agree to the terms and conditions stated above. Enrollment is first come, first serve basis. Spots are not held unless enrollment form and full payment is received. No refunds unless class is cancelled. No makeup sessions are offered if student misses class.
Signature of Participant’s Parent Date
Print Name (parent)