Thank you for registering for our online yoga class!

Please take a moment to fill out the information below. You will receive the Zoom Meeting link for class via the email address you provide. (Please allow up to 12 hours for this to occur).

Please try to register no later than one hour before class.
This ensures you will receive the Zoom meeting info in enough time to prepare for class. 

For inquiries, please contact YogaWithJill808@gmail.com

Question Title

* 1. First & Last Name:

Question Title

* 2. Email Address:

Question Title

* 3. Which days do you plan to join yoga for this week?

Question Title

* 4. Would you like to be added to our yoga instructor's email list for future offerings?

Question Title

* 5. I understand that yoga includes physical movements as well as an opportunity for relaxation, stress reduction and relief of muscular tension.  As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated.  If I experience any pain or discomfort, I will listen to my body, discontinue the activity, and ask for support from the instructor.  I assume full responsibility for any and all damages, which may incur through participation.  

Yoga is not a substitute for medical attention, examination, diagnosis or treatment.  Yoga is not recommended and is not safe under certain medical conditions.  By signing, I affirm that a licensed physician has verified my good health and physical condition to participate in such a fitness program.  In addition, I will make the instructor aware of any medical conditions or physical limitations before class.  If I am pregnant, become pregnant or I am post-natal or post-surgical, my signature verifies that I have my physician's approval to participate.  I also affirm that I alone am responsible to decide whether to practice yoga and participation is at my own risk.  I hereby agree to irrevocably release and waive any claims that I have now or may have hereafter against the yoga instructors at this location and the sponsor organization.

I have read and fully understand and agree to the above terms of this Liability Waiver Agreement.  I understand the risks associated with my participation in this program and voluntarily choose to participate in it assuming all risk of injury and/or death.  I am signing this agreement voluntarily and recognize that my signature serves as complete and unconditional release of all liability to the greatest extent allowed by law in the State of Hawai’i.

0 of 5 answered
 

T