WRD Yogalates April 2023 Registration 
Yogalates combines the stress-reduction and stretching of Yoga with the core-building and toning power of Pilates. You will feel more energized and upbeat, and walk out of class feeling taller and stronger. It’s also great for posture and back health. We have a down-to-earth group of fun, welcoming folks. Come join the fun!

Yogalates Saturdays 8:30-9:30 a.m. April 1 - 22 $40.00 Location: The Barn School 217 Brookside Road

Yogalates Wednesdays 8:30-9:30 a.m. April 5-19 $30.00 Location: Red Brick Meeting House
Registration deadline - 6:00 p.m. the day BEFORE the program starts!  You are not completely registered until payment is received.  Your payment may be put in the drop box at the Town Office.
PLEASE COMPLETE ONE FORM PER PERSON REGISTERING (sorry we know it can be cumbersome)

Questions about Westford Rec programs? Email us at recreation@westfordvt.us
Questions about Yogalates? Email the Instructor: Erin@Radiantenergyforlife.com

Thank you!  We appreciate you & look forward to seeing you enjoying these programs..
.
Sign in to Google to save your progress. Learn more
Participant's Full Name *

Yogalates 

 *
Required
Primary Address *
Email Address *
Primary Phone # *
Emergency Contact Name & Phone # *
Please List medical conditions of the participant(s), physical limitations, allergies, or restrictions Westford Rec should be aware of.  If there are none, please type 'none': *
I will submit payment via: *
Scholarship Fund:  If your financial situation is preventing you from signing yourself or your child up for a program, please write a brief essay in lieu of a fee.  The Recreation Department Committee will review eligibility for a scholarship & contact you.
Are you interested in donating to the Scholarship Fund? If so, please select an amount.
Release/Waiver Agreement: I am fully aware of the inherent risk, and give my consent for the above named applicant to participate in the program listed above.  I hold harmless the Town of Westford, Westford School, their employees, elected officials, and/or any volunteers or instructors from any and all liability from any injury, claim, costs or loss of services which may be incurred by me, or us, or our minor children on account of participation in said program(s).  Permission is hereby granted for me or us, or my child(ren) to receive emergency treatment if needed and I authorize the attending physician to administer any needed medical attention.  Furthermore, I certify that I, or we, or my child(ren) are in good health and that there are no limitations to my/our participation except in writing above.  I have read this document carefully and sign it voluntarily with full knowledge of its significance.  By clicking below, I release the Westford Recreation Department from all liability relating to injuries that may occur. *
Participant Name as Signature *
Photo Release: I give the Westford Recreation Department permission to photograph and use my image in its publications or on social media. *Your name will NEVER be included with their image. *
COVID-19 Agreement: To ensure the health and safety of all participants, volunteers, and their families, I agree to the following:  A personal health check will be completed within an hour BEFORE participating in any Westford Recreation Department program. Have you been in close contact with a person who has COVID-19? Do you feel unwell with any symptoms consistent with COVID-19? For example, have you had a cough, high temperature, shortness of breath, difficulty breathing, chills, repeated shaking with shills, muscle pain, headache, sore throat, or new loss of taste or smell?  Take temperatures prior to arrival.  Does the temperature exceed 100.4 F ?If the answer to any of these questions are Yes, DO NOT attend the program. Maintain social distancing, whenever possible. No sharing of personal equipment, water bottles, clothing, etc. Wash your hands before and after programs. Masks are NOT required for outdoor programs for children under 12, or those 12+ that are vaccinated. COVID-19 restrictions are constantly changing.  Please adhere to the CDC and Vermont State Guidelines *
Participant Name as Signature *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms