NEW STUDENT REGISTRATION

Registration, Release & Waiver of Liability 

To register, please take the time to fill out the information below. Your information is kept confidential and used for the purposes of understanding your needs as an individual and to reach you in the event of a class change or cancellations.

By filling out this Registration Form you

fully agree to the following:

I agree to the following:

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

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.

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. 

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

Studio23hudson@gmail.com  |  23 Old North Road  |  Hudson Ma.

© 2019 Leslii C Stevens RYT200 Yoga Teacher  |  Artist  |  Photographer  |  All rights reserved.

Site by Leslii Stevens

  • Grey Facebook Icon
  • Grey Twitter Icon
  • Grey Instagram Icon
  • Grey Pinterest Icon