Yoga Central Youth Program Ages 10-14
@ Thrive Hive Studio; Thursdays 4:45-5:30pm; May 23-June27, 2024.
Contact us by email at yogacentral21@gmail.com
Sign in to Google to save your progress. Learn more
Parent Name: *
Child name: *
Child's age at first session: *
Parent email: *
Parent Contact Phone Number: *
Alternate Parent Phone Number: *
Has your child ever taken a yoga class before? *
When trying new things, would you describe your child as: *
Required
Are there any physical or emotional needs I should be aware of? *
I give permission for my child to walk home after the sessions.  *
If your child will be picked up, please indicate the name and phone number of the person(s) that have permission to pick up. They will be required to show ID upon pick up.
Is there anything else you would like to share about your child?
How did you hear about our program? *
Photography: My child may be photographed while taking Yoga Central Kids classes. These photographs are the property of Yoga Central and no compensation will be given to me or my child if these photographs are used by Yoga Central for promotional purposes. If you would not like these photos to be posted or used for any promotion, please check the box below. *
Registration Fee of $90 has been email transferred to yogacentral21@gmail.com. Spot is not guaranteed until fee has been paid. *
There is a 10% discount for returning students. Fee for students who completed Module 1: Intentionally Me which ran from April 11-May 16, 2024. Did you child take part in Module 1? *
Waiver: I hereby agree to the following in regards to my child participating in any and all activities with Yoga Central: I understand that it is my responsibility to advise the instructor of any physical conditions which may limit my child's participation in the yoga classes. I am aware of the physical risks involved with all forms of exercise and understand it is my personal responsibility to consult with my family doctor regarding my child's participation. I further understand that I am solely responsible to make the decision for my child to participate. My child has no medical conditions which would prevent them from taking part in any yoga classes and assume complete responsibility for any risk or injury my child may sustain as a result of taking the classes. I acknowledge that the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. I hereby agree not to make a claim, sue or attack the instructors or property of Yoga Central or any of its affiliate companies or organizations. I hereby agree by submitting this registration form and waiver, to follow proper safety protocols when required. By submitting this waiver, I acknowledge that I have read and agree with the above terms and conditions and fully understand its contents. * *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy