FAMILY YOGA REGISTRATION

Thanks for deciding to come to class! Because we are trying to limit our paper use we ask that you kindly and quickly complete this registration and safety waiver form before your first visit. Let us know if you have questions.

Child Name

First Name

Last Name

Child Birthdate

MM

DD

YYYY

Additional Child(ren)

Please include the Name and Birthdate of Additional Child(ren) attending class with you.

Parent/Guardian Name

First Name

Last Name

Parent Email

Parent Phone

Country

(###)

###

####

Safety and Wellness Agreement (Required)

By clicking below I confirm that both my child(ren) and I are in good health. I acknowledge that Family Yoga offers playful movement practices that must be managed safely. I am responsible for any damage or injury that may happen while training/practicing at home during, before and/or after class.

I agree to the YOGABLOOM Safety & Wellness statement.

Get our monthly Family Yoga ENewsletter!

Let us send you our monthly updates about classes, events and offers to the email address you provided above.

Yes! Send me your ENewsletter.

No thanks, I prefer to watch for updates on my own.