Please read carefully *

I am the legal parent or guardian of the child(ren) listed below and give permission for myself and my child(ren) to participate in this class with Hands to Centre Inc. I understand yoga involves physical activity such as stretching, balance, and movement. Participation is voluntary, and I believe it is safe for us. I agree to inform the instructor of any relevant health concerns or physical limitations before or during class. I understand that photos or videos may be taken during class for promotional use (social media, website, etc.) and give permission for myself and my child(ren) to be included in group images without identifying information. If I wish not to have myself and my family members photos taken, I will inform the instructor. I acknowledge the physical risks of yoga and agree to release Hands to Centre Inc. and Zeny Grace Ingal from any liability related to our participation, including incidents before, during, or after class.

I acknowledge that I have read and agreed to the terms outlined above.

Consent for Media *

Yes, (FACE INCLUDED) I consent to the use of our photos/videos taken

Yes, (FACE WILL BE BLURRED OR COVERED BEFORE POSTING) I consent to the use of our photos/videos taken

No, I don't consent the use of our photo/videos taken

Parent/Guardian Name *

First Name

Last Name

Phone *

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###

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Date *

MM

DD

YYYY