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Mail with full payment OR $25 non-refundable deposit (per class) to:

Vancouver Yoga Center

Name_____________________________________

Address____________________________________

City/State/Zip________________________________

Email_____________________________________

Day Phone__________Evening Phone__________

Class Level/Day/Time_________________________

How did you hear of the Yoga Center?___________

Have you taken yoga classes before?_____________

Where/what style?_____________________________

Do you have any of the following?

__Disc problems__Sciatica__Fibromyalgia

__Heart disorders__High Blood Pressure__Arthritis

__Osteoporosis__Recent surgeries__Recent injuries

__Dislocated joints__currently pregnant

Please explain & list any others.___________________

______________________________________________

Disclaimer

 The yoga classes are not intended to treat, cure or prevent any conditions or diseases. You should always speak with a health care practitioner before beginning any new program or therapy.

 Vancouver Yoga Center shall have no liability to you for any direct, indirect, incidental or consequential injuries arising from taking the classes. Yoga is meant to be done slow and with the breath; this is to ensure that you do no harm to the body. Yoga is not a competition and everybody is different. Look within, not to your neighbor. Do not go beyond what your own body's limits are. Go slow and have a great class!

Refund Policy: Refunds are available up to 2 weeks into the term, less the $25 administration fee per class and Drop-In charge for each class that has passed.

Date_____________Signature_________________________________

 

 

 

 

 

301 E. McLoughlin Blvd. #D   Vancouver, WA  98663 U.S.A.                  (360) 521-1609                         melonie@vancouveryogacenter.com

 

 

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