WRD Yogalates May 2024 Registration 
Yogalates combines the stress-reduction and stretching of Yoga with the core-building and toning power of Pilates. You will feel more energized and upbeat, and walk out of class feeling taller and stronger. It’s also great for posture and back health. We have a down-to-earth group of fun, welcoming folks. Come join the fun!

Yogalates Wednesdays and Saturdays 8:30-9:30 a.m. Brick Meeting House any 4 classes for $40.00 new clients only, please.

Registration deadline - 6:00 p.m. the day BEFORE the program starts!  You are not completely registered until payment is received.  Your payment may be put in the drop box at the Town Office.

PLEASE COMPLETE ONE FORM PER PERSON REGISTERING (sorry we know it can be cumbersome)

Questions about Westford Rec programs? Email us at recreation@westfordvt.us
Questions about Yogalates? Email the Instructor: Erin@Radiantenergyforlife.com

Thank you!  We appreciate you & look forward to seeing you enjoying these programs..
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Scholarship Fund:  If your financial situation is preventing you from signing yourself or your child up for a program, please write a brief essay in lieu of a fee.  The Recreation Department Committee will review eligibility for a scholarship & contact you.
Participant's Full Name *
Primary Address *
Email Address *
Primary Phone # *
Emergency Contact Name & Phone # *
Please List medical conditions of the participant(s), physical limitations, allergies, or restrictions Westford Recreation should be aware of.  If there are none, please type 'none': *
If you are not feeling well or are sick, please do not participate. If you have had a temperature over 100.4°F and/or you have vomited in the past 12 hours, DO NOT attend the program.

Health Agreement: To ensure the health and safety of all participants, volunteers, and their families, I agree to the following:  A personal health check will be completed BEFORE participating in any Westford Recreation Department program.

Please type your name as Signature to Health Agreement (Parent/Guardian if under 18)
*
Release/Waiver Agreement: I am fully aware of the inherent risk, and give my consent for the above named participant to participate in the program listed above.  I hold harmless the Town of Westford, Westford School, their employees, elected officials, and/or any volunteers or instructors from any and all liability from any injury, claim, costs or loss of services which may be incurred by me, or us, or our minor children on account of participation in said program.  Permission is hereby granted for me or my child to receive emergency treatment if needed and I authorize the attending physician to administer any needed medical attention.  Furthermore, I certify that I, or my child, am/is in good health and that there are no limitations to my/their participation except as documented above.  I have read this document carefully and sign it voluntarily with full knowledge of its significance.  By clicking "agree" below, I release the Westford Recreation Department from all liability relating to injuries that may occur.

Please type your name as Signature to Release/Waiver (Parent/Guardian if under 18) on the other line.
*
Photo Release: I give the Westford Recreation Department permission to photograph and use my image in its publications or on social media. *Your name will NEVER be included with their image.

Please type your name as Signature to Photo Release (Parent/Guardian if under 18) on the other line
*
Are you interested in donating to the Scholarship Fund? If so, please select an amount.
I will submit payment via: *
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