Yoga for Life

Starting Monday October , 2007 for 10  weeks

Yardley Borough Hall (Enter off Canal St.)

Registration is limited and open to all area residents with priority given to Yardley Borough residents.

Please bring a yoga mat       Class Size is Limited to 15 Students!

All Classes are    1 Hour and 30 Minutes

Monday Evening 6:30 to 8:00 PM    Wednesday Evening 6:30 to 8:00 PM     Saturday Morning 8:00 to 9:30 AM 

One Class  $75

Sign up for any two Classes for $125

Please sign up early to avoid disappointment!

Please Circle a Class or Classes

You will be notified only  if your chosen class in full

Name ________________________________ Date of Birth: _________________

Address  ____________________________ City _________________ Zip_______

Home Phone: ____________________ Bus. Phone: ________________________

Email: ______________________________ Fax: __________________________

List any Health or Physical Constraints:____________________________________

_________________________________________________________________

I hereby Irrevocably release and discharge Yardley Borough, 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 Yardley Borough, 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 Yardley Borough, 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 return this application with your check made out to:    Yardley Borough Recreation Board

Send to:  Carol Schultz,  c/o Yardley Borough, 56 S. Main St., Yardley, PA  19067

Questions?  Carol Schultz  215-321-3685  or ckschultz@gmail.com 

Signature: ____________________________________ Date: ____________________

Copyright © 2006 Yoga for Life