Kids Yoga Class Registration Form
All information given on this sheet will be treated as confidential
Sign in to Google to save your progress. Learn more
Email *
Parent's Name
Contact Number
Name of Child/Children
Age of Child/Children
Understanding of Yoga
Clear selection
Which sessions are you interested to join? (We will reach out to you via Whatsapp later for confirmation and  payment instruction)
Clear selection
Special health considerations, injuries, recent surgery, mental or behavioral diagnoses?
Do you give permission for your child's pictures/videos to be posted online and/or in future marketing materials for Joyful Blossom Yoga Dance?
Clear selection
Would you like to subscribe to our newsletter to receive updates and mindfulness tips?
Clear selection
How do you know about us?
Disclaimer: I here by agree that that child/children is participating in Kids Yoga Class offered by Joyful Blossom Yoga Dance. I understand that Joyful Blossom Yoga Dance is  solely responsible for the content and operation of the classes. I recognize and understand my child/children will receive information and instruction about Yoga. I recognize that this may require some physical exertion, which may be strenuous and may cause physical injury, and, I am fully aware of the minimal risks involved. I understand that it is my responsibility to consult with a physician, prior to, and regarding my participation in the Yoga Class. I represent and warrant that my child(ren) is/are physically fit and have no medical condition which would prevent full participation in the Yoga Class. In consideration of being permitted to participate in this class, I agree to assume full responsibility for any risks, injuries or damages, known or unknown, which might incur as a result of participating in the program
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy