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JuvoLiving Yoga
Street Address
Coham, Surrey
07725 087653
Life Enhancing Yoga with Laura Ebeid
Your Custom Text Here
JuvoLiving Yoga
Home
About
Contact/Location
Sign In
My Account
New Student Registration Form
Full Name
*
First Name
Last Name
Email Address
*
Contact Number
*
Have you practiced yoga before? If yes, for how long and what style? E.g. Hatha? Bikram? Ashtanga?
What do you hope to gain from your classes with me?
Do you have any injuries current/past I need to know about? If yes, please provide details below.
*
Where did you hear about me?
*
New student waiver
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Please read and click the 'agree' box before you come to class: By signing below, I acknowledge that yoga is a physical discipline that requires a certain amount of mental concentration and physical strength and endurance. I agree to work according to my own limitations; take full responsibility for my own safety and well-being; and release Laura Ebeid from any liability associated with her yoga instruction. Furthermore, I acknowledge that participation in yoga classes exposes me to a possible risk of personal injury. I am fully aware of this risk and hereby release Laura Ebeid from any and all liability, negligence, or other claims, arising from, or in any way connected, with my participation in yoga. My signature further acknowledges that I shall not now, or at any time in the future, bring any legal action against Laura Ebeid; and that this waiver is binding on me, my heirs, my spouse, my children, my legal representatives, my successors and my assigns. My signature verifies that I am physically fit to participate in yoga classes and where appropriate a licensed medical doctor has verified my physical condition(s) and/or injuries for participation in this type of class. My signature verifies that I am not pregnant, or think I could be pregnant, and that I will agree to cease participation in classes immediately should I become pregnant or think I may be pregnant. By signing this, I confirm that I have read and understood the booking policy written on the booking page. My signature is binding to this liability waiver from this day forth.
I agree
Thank you!