This form serves as your registration and waiver acknowledgement to the Virtual Yoga class(es) being offered during the AMIA 2021 Virtual Clinical Informatics Conference. You must be registered for the Clinical Informatics Conference in order to attend.

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* 1. Virtual Yoga Class Registration - Name and Email
Please enter your name as it appears on your AMIA registration.

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* 2. Please enter the email address you’d like the Zoom link to the class to be sent. We will email you the link to the Virtual Yoga Class(es) you select below, the day prior to the class via calendar appointment.

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* 3. Please select the classes you'd like to attend from the options below.

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* 4. I hereby acknowledge and agree to the following as conditions of my participation in the AMIA 2021 Virtual Yoga Classes:

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* 5. I hereby acknowledge and agree to the following as conditions of my participation in the AMIA 2021 Virtual Yoga Classes instructed by Maria Hamburger.

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* 6. Please type your first and last name in the box below as Step 1 of your Electronic Signature.

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* 7. Please type today's date in the box below as Step 2 of your Electronic Signature

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