Winter Zoom Yoga Registration
Winter Session is January 3-March 31, 2022  13 weeks.  
By registering for a class, I agree to take full responsibility for not exceeding my limits in the practice of yoga, and for any injury or discomfort I might experience in the practice of yoga. I accept that it is my responsibility to ascertain if there are any medical reasons why I should not study and practice yoga. I understand that I may injure myself during yoga class. I hereby waive any claim that I might have at any time for injuries of any sort against Julie Rosier, Yoga Instructor, or any substitute teacher, and the owners of any properties in which they teach yoga. I, my heirs or other legal representatives forever release, waive, discharge and covenant not to sue Julie Rosier,  for any injury or death caused by her negligence or other acts.

Please fill out as much information as possible in all the fields below.

Contact: Julie at yogawithjulie@me.com

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Name *
Email *
Phone Number: *
Please note your class choice/s. It is ok to float around to classes. I just want to know which attendance sheet/s to put you on. *
Required
I understand that I will have to pay Julie Rosier via Check or PayPal or Venmo prior to class. See pricing and info on email. *
Required
Please note any current medical &/or physical conditions of which Julie should be concerned or aware and/or that limit your participation in yoga. *
Why do you want to take this yoga class? What would you like to learn? What do you hope to accomplish? How can Julie be of service?
What other physical activities or sports do you pursue?
If new to Yoga with Julie? Have you taken a Yoga class before? When and With whom? How did you hear about this class?
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