Yoga4all
Childrens Yoga Health Questionnaire
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Childs Name *
Childs Age *
Parent/Guardian Name *
Contact no. *
Email Address *
Add me to mailing list *
How did you hear about us? *
I give permission for photos to be taken for the website, social media or promotional material. *
Any health issues or other issues the instructor may need to be aware of. *
Disclaimer:
I understand that yoga includes physical movement as well as relaxation. As in the case of any physical activity there is a risk of injury. I also understand that supportive and encouraging touch, massage, partner and group interaction in an integral part of the class.

I hereby agree to release and waive any claims that I and/or my child/children have now or hereafter against any instructor of Yoga4all.
Signed: *
Date: *
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