Nature Space Yoga: 2020 Registration

Name

First NameLast Name

Email

example@example.com

Phone Number

Area CodePhone Number

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Area CodePhone Number

Have you ever done yoga or meditation before?

Have you taken a Nature Space Yoga Class before?

Tell me a little about your yoga and/or meditation experience (if applicable)

Do you have any physical conditions that I should be aware of to ensure you have a safe and effective yoga practice? If yes, please describe:

Please select your registration options:

Periodically, photos will be taken to be used for our website or other promotional materials. As a small business, these kinds of photos are helpful to grow and support our business. Do you consent to your photo being taken and used in this manner?

Covid-19: Disclosure. Please tick ALL boxes to indicate understanding. I understand that I cannot participate in Beach Yoga if I:

Should I become infected with Covid-19, I will inform Nature Space Yoga by emailing Heather Gunn McQuillan at naturespaceyoga@gmail.com, so that contact tracing can be performed to protect all participants.

Please print your name to acknowledge you understand this requirement.

Upon submitting this form, you will be contacted by Nature Space Yoga to arrange payment through e-transfer or credit card. E-transfers can be made to naturespaceyoga@gmail.com with the security answer naturespace (all one word).

Waiver: By clicking submit, the participant agrees that while participating in Nature Space Yoga classes or workshops, they acknowledge that they assume all risks associated with participating in a yoga or meditation class, and release and hold harmless Nature Space Yoga and its instructors from any legal or equitable claims, demands, debts, law suits, or causes of action in the past, present, or future for any or all injury, disability, death, and loss or damage to person or property. Participants also waive any right to pursue legal action related to partipating in a Nature Space Yoga class and contact or infection with Covid-19.