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BYSL Client IntakeForm

I hereby agree to the following:

  1. I accept all risks connected with participating in physical activity, and will not tender any responsibility of physical impairment on BYSL, Alanna Partin of Partin Fitness LLC, nor their contractors. Myself, spouse, children, etc hereby agree to hold the above stated free from any liabilities and costs from personal injury, accident, death, or loss of any kind sustained in or around the studio.
  2. My personal property, including vehicle in the parking lot, is not the responsibility of BYSL.
  3. I commit to fully paying dues that I incur and am obligated to cancel any contract with the required notice. Payment will always be made in advance for services and merchandise. My billing information will be securely stored in Mindbody Online, and I can utilise this software to sign in and review my payment history. I understand that BYSL has the right to refuse service to anyone who fails to meet the stated Etiquette policy, of which I can review online.
  4. There will be no refunds of unused classes, nor extensions of packages. I commit to utilizing the services within the advertised package time frame. Nor can my own classes be utilized by another student.
  5. BYSL photographs and/or videos taken at the studio are their property to use as they please, and I will not receive any compensation should these items appear on their social media or website. This serves as a photo and video release.
  6. Minors brought to BYSL are my responsibility. I assume guardianship during their time at the studio. This legally binding agreement is applicable to anyone under the age of 18 within my care when at the studio.
  7. I have fully read this information.

DATE: December 13, 2018

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

Have you ever done hot yoga before? *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information

Have you ever done hot yoga before? *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information

Have you ever done hot yoga before? *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information

Have you ever done hot yoga before? *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information

Have you ever done hot yoga before? *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information

Have you ever done hot yoga before? *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information

Have you ever done hot yoga before? *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information

Have you ever done hot yoga before? *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information

Have you ever done hot yoga before? *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information

Have you ever done hot yoga before? *
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
How did you hear about us?

How did you hear about us? *
Emergency Contact:

Emergency Contact Name​: *

Emergency Contact Number: *

Emergency Contact Relationship​: *
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Have you ever done hot yoga before? *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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