Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastWhat grade is the student in? *Parent/Guardian Name *FirstLastParent/Guardian Email *Parent/Guardian Phone *Media WaiverI do not consent.Click the checkbox if you do not wish to allow photos of your student to be used for marketing purposes for future yoga programs. Pick up Agreement *I agree to pick up my child on time.I acknowledge that the student will have to be picked up before 3:55pm from the school on yoga class days. Waiver *AgreeI release Little Frogs & Downward Dogs Yoga LLC from any responsibility and/or liability associated with after school group yoga program. I release Little Frogs & Downward Dogs Yoga LLC employees and agents harmless against any and all liability, damage and/or expenses arising out of or in connection with actions, claims and/or damages resulting in personal injuries and disabilities (physical and/or psychological) or transmission of a communicable disease that might be incurred as a result of the service provided and I agree to allow my child to participate understanding these risks and outcomes. Submit
