Embody Love Camp Registration and Release
registration and release for embody love movement workshop/camp with GoodYoga/ Heather Hopper
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Email *
Child's Name *
Age *
Parent Name *
Phone number *
Address *
Special Diagnoses *
Allergies *
Registration complete with payment by Venmo to @Heather-Hopper-GoodYoga   *
I hereby give permission for my child *
CHILD WAIVER (to be signed by parent)I, the undersigned parent or guardian, understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment.  In the case where my child has an injury, illness or anything else that may be affected by physical activity, I have consulted with a physician that my child can take a yoga class.  I recognize that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class.  In further consideration of permitting my child to participate in the yoga class, I knowingly, voluntarily and expressly waive any claim I may have against Taylor Yoss and the owner/lessor of the Premises for injury or damages that my child may sustain while on the Premises as a result of participating in the yoga class.  I, my heirs or legal representatives irrevocably covenant not to sue and forever release, waive, and discharge any other claims of any kind whatsoever against Yogees Yoga 4 Kids, Taylor Seideman, Heather Hopper, or any yogees yoga 4 kids contractor, or the owner/lessor of the Premises for any personal injury, property loss or damage, or wrongful death, whether caused by negligence or otherwise.  I have read the above release and waiver of liability and fully understand its contents.  I voluntarily agree to the terms and conditions stated above.  I accept that neither the instructor, nor the hosting facility is liable for any injury,  or damages, to person or property, resulting from the taking of the class.  This form must be signed by a parent or guardian.  E-signature by providing full name, below.
COVID-19 SAFETY GUIDELINES: The following CDC safety guidelines must be agreed upon to participate in Embody Love Movement Camp. MASKS: The wearing of a mask is MANDATORY for all participants when inside the studio and off the mat. Mask may be removed when on the mat, indoors or in the outdoor space. SANITIZE: Participants will be required to sanitize/wash hands before and during camp. Hand sanitizer will be provided or you may use your own. SOCIAL DISTANCING: We will be maintaining social distancing of 6 feet apart at all times. ILLNESS: If a child or family member develops COVID-19 or flu-like symptoms, parent or guardian agrees to notify Ms Heather and keep the child at home. A version of the activities for the day will be sent home in event of an absence, or child may attend virtually, or both.             E-SIGNATURE DIGITALLY BY TYPING FULL NAME. *
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