RISE Adult Yoga Classes
Name *
Email *
Address
Phone number *
Please list any injuries, illnesses or medical conditions that may be relevant: *
Emergency Contact Name: *
Emergency Contact Phone Number: *
I understand yoga is not a substitute for medical attention, examination, diagnosis or treatment. I understand yoga is not recommended and is not safe under certain medical conditions. I understand that I must be aware of my own capabilities as a yoga student at RISE Vineyard Performing Arts.  I take full responsibility for knowing my limits and informing the instructor of any limitationsI might have. I hereby waive and release any claim for any injury against Heather Dyas-Fried or RISE Vineyard Performing Arts.
I have read, understand, and agree to the above (please type name) *
Payments are made the day of class via cash, check, or Venmo to Heather-Dyas-Fried.  Please indicate your class preference.  
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