Child Name *

First Name

Last Name

Parent Name *

First Name

Last Name

New student waiver *

Please read and click the 'agree' box before your child comes 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 that my child will work according to his/her limitations; take full responsibility for his/her safety and well-being; and release Laura Ebeid from any liability associated with her yoga instruction. Furthermore, I acknowledge that my son/daughters participation in yoga classes exposes him/her 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 son/daughters 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 my son/daughter is physically fit to participate in yoga classes and where appropriate a licensed medical doctor has verified his/her physical condition(s) and/or injuries for participation in this type of class. My signature is binding to this liability waiver from this day forth.

I agree