Yoga for Life

Starting Tuesday September 6 , 2005 for 8  weeks

LMCSS - Newtown

Please bring a yoga mat or purchase one at class        

All Classes are  45 Minutes

Tuesday Morning 11:30 to 12:15 PM    Thursday Morning 11:30 to 12:15 PM   

Cost for one class per week  $50

Cost for two classes per week  $95

Name ________________________________ Date of Birth: _________________

Address  ____________________________ City _________________ Zip_______

Home Phone: ____________________ Bus. Phone: ________________________

Email: ______________________________ Fax: __________________________

List any Health or Physical Problems:_____________________________________

_________________________________________________________________

I hereby Irrevocably release and discharge Yoga for Life and all of its representatives, agents and employees, from and against, all legal liabilities, losses claims, claims for relief, causes of action, damages, demands, attorney’s fees and expenses, as to all injuries, death and damages, to person or property in any way resulting from, or arising out of my attendance at or participation in any instruction, workshop, or exhibition, and whether arising while engaged in or departing from them, from any cause whatsoever, including, but not limited to, the failure to make inspections, or, the negligence of any person, and including all matters arising in the future after the date hereof it being my intention, contemplation, understanding and agreement that there shall be no legal liability whatsoever now or in the future to  Yoga for Life, nor to any of its representatives, agents or employees. I hereby assume all risks for all injuries, death and damages, to person or property, while I attend, participate or assist in any event, exhibition, instruction, activity or workshop, or any and all other matters relating thereto, in the future. I hereby acknowledge that I fully understand all risks, hazards and damages to myself and to my property while attending, participating or assisting in any event, exhibition, instruction, workshop, or activity, or any other related matters, and hereby voluntarily assume any and all of the above described risks, it being my intention, contemplation, understanding and agreement that there shall be no legal liability whatsoever now or in the future to Yoga for Life, nor to any of its representatives, agents or employees. I have voluntarily entered into this document, with full knowledge, and with the intention and contemplation, that by so doing, I am legally binding and barring myself, my estate, my heirs, my assigns, my trustees, my personal representatives, and any and all other persons who might claims for and on my behalf, from having any legal rights whatsoever to bring any action or recover any damages whatsoever from any of the persons hereinbefore set forth.

Please bring this completed application with your exact cash payment to the first class

Questions?  Email yogaguy@voicenet.com 

Signature: ____________________________________ Date: ____________________

Copyright © 2006 Yoga for Life