Repps with Bastwick Village Hall

Yoga Registration Form
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Mind Body Swim Yoga
Name
Name
First
Last
MSBY WhatsApp
Would you like to be kept up to date by being added to the MBSY WhatsApp group? (Your details will not be passed on to any third parties unless under emergency conditions)

Do you have any of the following health conditions?

Health Conditions
Health Conditions
Health Conditions

If you have selected any of the above conditions please inform your teacher before each class.

Please read the following:

  1. I am in good physical health and fully able to perform all exercises that I am required to learn and perform during my enrolment with you. I confirm that I have no medical conditions or injuries that would prevent me from fully participating. I will disclose any impairments I have in writing.
  2. I understand that it is my continuing responsibility to inform the teacher(s) at Mind Body Swim Yoga of any previous or current medical conditions, injuries or surgeries prior to the class.
  3. I will fully follow all instructions given to me by my teacher regarding when, where, and how to perform yoga exercises. I understand that any deviation from such instructions will be at my own risk.
  4. I understand and acknowledge that I am receiving instructions in yoga theory and exercises only. I will not hold you to any higher standard of care than is applicable to the school of yoga theory and exercises.
  5. In consideration of being permitted to participate in any class, I knowingly, voluntarily, and expressly waive any claim I may have or acquire against Mind Body Swim Yoga or Hazel Rudrum for any injuries, conditions, or damage that I may sustain as a result of entering or being on the premises or participating in its classes.
  6. The tuition paid now and any fees paid subsequently are non-refundable. Mind Body Swim Yoga reserves the right to issue refunds at its discretion.
  7. I understand and acknowledge that Mind Body Swim Yoga is not responsible for any loss, theft, or damage to personal property left on the premises.
  8. Hazel Rudrum and/or Mind Body Swim Yoga require twenty-four hours notice for any non-attendance to classes. Failure to provide such notice will result in a charge for that class.
Agreement Checkbox