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FREE YOGA CLASS
(For St. Petersburg Residents Only)

Enjoy your first class FREE by printing out the FREE CLASS PASS.

Please fill out the information on yourself and bring the pass with you on your first visit!

Name __________________________________________________________
Email __________________________________________________________
Address __________________________________________________________
  __________________________________________________________
Phone __________________________________________________________
Birthday __________________________________________________________

Pain, Injuries, Challenges: __________________________________________________
_________________________________________________________________________
What would you like yoga to help you with?________________________________
_________________________________________________________________

How did you hear about us?____________________________________________
If a Friend/Relative referred you what is their name?__________________________

* I, __________________________________ (print name), understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education, and relief of muscular tension. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body, adjust the posture, and ask for support from the teacher. I will continue to breathe smoothly.

Yoga is not a substitute for medical attention, examination, diagnosis, or treatment. Yoga is not recommended and is not safe under certain medical conditions. I affirm that I alone am responsible to decide whether to practice yoga. I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against St. Petersburg Yoga.

* ____________________________________________ Date _____________
   Signature of Student, Parent, or Guardian