NEW STUDENT REGISTRATION

By filling out this Registration Form you

fully agree to the following:

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I agree to the following:

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1. The information I provided on this form is complete and accurate.

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2. I understand that participating in an exercise class involves risk of injury; I agree to be solely responsible for any injuries sustained by me as a result of my participation in the class or any future classes I take with Leslii Stevens RYT. I am fully aware of my risks involved.

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3. I understand that it is my responsibility to consult with a physician prior to and regarding my participation in any yoga class offered by Leslii Stevens RYT. I represent and warrant that I am physically fit and have no medical conditions that would prevent me from participation in yoga classes. I assume full responsibility for any injuries or damages, known or unknown, which I might incur as a result of participating in yoga classes. I knowly, voluntarily, and expressly, waive any claim I may have against Leslii Stevens RYT for injuries or damages that I may sustain as a result of participating in her yoga classes. 

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Please Sign (print) full name & Date form to acknowledge  you have read this and agree.

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