YOGICUBS / TODDLER & CAREGIVER YOGA REGISTRATION FORM
The information contained in this form is strictly confidential and will not be disclosed to any third party without your consent. The information in this form is used to ensure we can teach you (and/or your child) safely and respectfully.
Today's Date: January 24, 2022
4.1. I have no medical conditions which would prevent me from participating in the classes I will attend or have attended. 4.2. I have declared within the past 3 months (or since my most recent birth
and/or medical treatment) by a physician to be in good physical health and
capable of performing yoga exercises in a manner consistent with those
offered by Anicca Yoga.4.3. If attending with a minor, the minor has been recently declared by a
physician to be in good physical health and capable of performing yoga
exercises in a manner consistent with those offered by Anicca Yoga. 4.4. If at any time this changes I will inform you in writing prior to taking any
12. I have read the above agreement and the waiver and release of liability and fully
understand its contents. I voluntarily agree to Anicca Yoga Terms and Conditions.