Registration Form

REGISTRATION FORM
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Participant Information

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Name *

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Last

Address *

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Email *

Emergency Contact Information

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Relationship *

Phone Number *

Comments *

CLASSES OFFERED *

Holy Yoga (Thursday @ 5:30pm) Session Dates 10/18 - 12/20/2018, Cost $60 (prorated for Thanksgiving) AMPLIFY (Monday - Friday @ 5:15 - 6:00am) Session Dates 10/15 - 12/21/2018, Cost $70 Active & Fit (Monday @ 9:30am & Wednesday @ 9:00 am) Session Dates 10/15 - 12/19/2018, Cost $50 Men's Basket Ball (Saturday @ 9am) Restorative Yoga (Monday @ 8:45am) Session Dates 10/15 - 12/17/18 Chair Yoga (Thursday @ 4:30pm) Session Dates Oct. 18 - Dec. 20, 2018 (Cost $45, prorated for Thanksgiving)

Release of Liability & Assumption of Risk *

The use of the premises, facilities, equipment, and services at St Paul Presbyterian Church naturally involves risk of injury to you or your guest, whether you or someone else cause it. As such, you understand and voluntarily accept this risk and agree that St Paul Presbyterian Church will not be liable for any injury, including, without limitation, personal, bodily or mental injury, economic loss or any damage to you, your spouse, guests, unborn child, or relatives resulting from the negligence of St Paul Presbyterian Church or anyone on St Paul Presbyterian Church’s behalf or anyone using the facilities.

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