Welcome to Kylie Jane Frost Yoga.
Let's get started with your student release and registration.
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Full Name *

 
Address *

 
Phone Number *

 
Have you practice any kind of yoga before? *

     
 
If you answered YES, what type of yoga have you practised, for how long and when did you last practise?

If you answered NO, please type NA.
 
Do you have any injuries (past or present) that we need to be aware of? *

Please mention any sprains, strains, knee, wrist or back injuries as well as any medical conditions.
 
Emergency Contact Information *

Please advise the name and phone number of who we should contact in case of an emergency.
 
I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension.

As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated.

If I experience any pain or discomfort, I will listen to my body, adjust the posture and ask for support from the teacher. I will continue to breathe smoothly.

Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practise yoga.

I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Kylie Jane Frost.

I grant to Kylie Jane Frost, its representatives and employees the right to take photographs of me and my property in connection with the above-identified subject.

I authorise Kylie Jane Frost, its assigns and transferees to copyright, use and publish the same in print and/or electronically.

I agree that Kylie Jane Frost may use such photographs and or video material of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, and Web content.

I agree to share my email address with Kylie Jane Frost for the purpose of communication, updates on services and marketing material.

I have read and fully understood the above.

 
I accept and agree to this student release and registration dated: *

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