Booking Form | Oneofakind

One of A Kind Yoga Liability Waiver
Please fill out before first class

Your First Name

Your Email

Your Last Name

Your Phone Number

Do you have a doctor’s permit to or are you able to participate in physical activities?

Yes

Please specify anything we should know about

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone

I declare that the info I’ve provided is accurate & complete

I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.

I grant One of A Kind Yoga permission to capture and use pictures or videos for promotional purposes

YES

Signature

Thanks for submitting!

One of A Kind Yoga Liability Waiver Please fill out before first class

One of A Kind Yoga Liability Waiver
Please fill out before first class