Name *

First Name

Last Name

Phone *

(###)

###

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Health Information *

Do you have any existing medical conditions or injuries?

Yes

No

I, the undersigned, understand that participating in a yoga class involves physical activity and may carry certain risks, including but not limited to muscle soreness, strain, and injury. I agree to inform the instructor of any physical limitations or medical conditions that may affect my participation. *

I agree to the above statement

Yes

No