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Soul Sweat Hot Yoga
Set your soul on fire.

1. I am in good health and can adequately perform hot yoga.

2. I understand that the yoga room(s) are heated, and in some cases, can reach up to 110 degrees Fahrenheit.

3. I will follow all instructions given to me by my instructor.

4. I will not hold Soul Sweat Hot Yoga responsible for any injuries suffered by me caused by myself or another person.

5. I grant permission to use my likeness in a photograph, video, or other digital media (photos) in any and all of its publications, including web-based publications (social media platforms/e-mails/etc). I waive any right to inspect or approve the finished product wherein my likeness appears.

By signing below, you understand and agree to the statements above. 

Date: October 14, 2024

First Student's Name

First Name*

Last Name*

Phone*
First Student's Date of Birth*
First Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
First Student's Signature*
Second Student's Name

First Name*

Last Name*
Second Student's Date of Birth*
Second Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Third Student's Name

First Name*

Last Name*
Third Student's Date of Birth*
Third Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Fourth Student's Name

First Name*

Last Name*
Fourth Student's Date of Birth*
Fourth Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Fifth Student's Name

First Name*

Last Name*
Fifth Student's Date of Birth*
Fifth Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Sixth Student's Name

First Name*

Last Name*
Sixth Student's Date of Birth*
Sixth Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Seventh Student's Name

First Name*

Last Name*
Seventh Student's Date of Birth*
Seventh Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Eighth Student's Name

First Name*

Last Name*
Eighth Student's Date of Birth*
Eighth Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Ninth Student's Name

First Name*

Last Name*
Ninth Student's Date of Birth*
Ninth Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Tenth Student's Name

First Name*

Last Name*
Tenth Student's Date of Birth*
Tenth Student's Information
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Student'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:*
Additional Information
Referred by:
Groupon
Studiohop
ClassPass

Other:
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.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also 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
Are you allergic to lavender and/or lavender extract? *
No
Yes

If you have any health concerns, please state them below. —> It is your responsibility to communicate these concerns with your instructor prior to the start of class.
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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