Registration Form

REGISTRATION FORM
Register now, pay at first class

Participant Information

* Indicates required field

Name *

First

Last

Address *

City *

Email *

Emergency Contact Information

Name *

Relationship *

Phone Number *

Comments *

CLASSES OFFERED *

Yoga (Thursday @ 5:30pm) Session Dates 3/28-5/30/19, Cost $65 AMPLIFY (Monday - Friday @ 5:15 - 6:00am) Session Dates 3/25 - 5/31/2019, Cost $70 Active & Fit (Monday @ 9:30am & Wednesday @ 9:00 am) Session Dates 3/25 -5/29/2019, Cost $50 Men's Basket Ball (Saturday @ 9am) Restorative Yoga (Monday @ 8:45am) Session Dates 3/25-5/27/19 Chair Yoga (Thursday @ 4:30pm) Session Dates, 3/25-5/30/19 (Cost $50

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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