Cyndi-Costa-Rica

Thank you for your interest in the Young Yogis Toronto Lunchtime Yoga Retreat! All registered participants will be contacted regarding payment in the coming weeks. *

Please select your child's school

Child's Name *

First

Last

Child's Age *

Name of Parent / Guardian *

First

Last

Parent / Guardian Email *

Email

Confirm Email

Child's Emergency Contact *

First

Last

Emergency Contact Phone Number *

Liability Waiver: I understand that in the case where my child has an injury, sickness, or anything else that may be affected by physical activity, I have consulted with a physician to ensure my child can take yoga classes. I recognize that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class. I accept that neither the yoga instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. *

I understand and accept the terms of the above waiver.

If the child is currently experiencing any medical conditions of which the instructor should be informed, please specify here:

If the child is currently taking medications or has serious allergies that should be made known to medical personnel, in case of emergency, please indicate them here:

My child will require a rental mat (for an additional $5.00)

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