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Shine Om Family Yoga Liability Waiver Agreement
Thank you for enrolling in a Shine Om Family Yoga class. I look forward to getting to know you throughout our time together and witnessing you connect deeper with yourself and your loved ones.
Please complete the form below to help me know you and your family better and ensure a safe and comfortable practice for your family.
Parents and Guardians are required to complete this form on behalf of all their child(ren).
Thank you,
Shine Om
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Email
*
Your email
Participants Details:
1. home address of all participants i.e 7 Family Way, Yoga, ACT, 2602
2. First name, surname, DOB
*
Your answer
Please let me know your pronoun preferences, so I can address you respectfully.
she/her/hers
he/him/his
they/them/theirs
ze/hir/hirs
ze/zir/zirs
xe/xem/xyrs
Other:
Emergency Contact Name/Relationship/Contact Number:
*
Your answer
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