Orenda Yoga & Healing Arts

PLEASE READ AND SIGN
I am responsible for my own health and actions. I have consulted with a physician, if necessary,  in regards to my participating in activities and programs offered herein. I shall undertake these classes at my sole risk. Orenda Yoga and healing arts and its sub-contractors shall not be liable for injuries , or damages to my person or property arising out of , or in connection with the use of the services and facilities of the premises. I release Orenda Yoga and its Instructors from all cause of action. This statement is binding throughout 2010.
Signature ________________________________Date________  
                ( parent or guardian for minor under 18  )

 Name________________________________________________________

Mailing Address________________________________________________

City_________________________  State________  Zip________________

Phone________________________________________________________

E-mail________________________________________________________

Class / Workshop_______________________________________________

Please indicate physical limitations or conditions ( if any )  you feel may be
important for instructor to be aware of concerning your participating in classes.
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