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Holland, MI 49423, USA

©2017 ROOT TO RISE

POLICIES

We'll have some paper forms for your to fill out the first time you take our classes. Here's a peek at what they say, so you know what you're getting yourself into.

 

PARTICIPANT INFORMATION FORM

This is our standard form all students must sign.

 

Name:
Address:
City:
State:
Zip:
Phone:
Email:
Date of Birth:

 

Do you have any medical restrictions or conditions we should be aware of?

 

YES     NO

 

If YES, please explain:

 

I hereby consent to participate in a class at Root to Rise and agree to assume all risks involved. I understand that Root to Rise does not provide medical insurance relative to accidents, injuries and/or death as a result of program-related activities. I will not hold Root to Rise or affiliated instructors personally responsible for any liability.

 

I hereby affirm that I am physically sound and suffering from no condition, ailment, impairment, disease, or other illness that would prevent me from safely participating in yoga activities; if I have any medical history relevant to my participation, I have disclosed it to Root to Rise instructors.

 

Signature:
Date: