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 intense 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

See You at One of A Kind Yoga!

1579 Sheridan Drive
Kenmore, NY 14217

Previously Located on Linwood Ave

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