The Balance Code Yoga and Wellness Registration Page

Class Registration Form:

SECTION A:

Participant First Name:*

Participant Last Name:*

Date of Birth:*

Date

Child Name if applicable.

Child Age if applicable.

Primary Email Address: (This information is necessary for communicating the Zoom links or any changes to the class, transaction errors, etc. By providing this information you consent to receive occasional information related yoga and wellness from The Balance Code Yoga & Wellness Ltd. and/or The Confidence Coach. Unsubscribe anytime.)*

Phone:*

Address:*

City:*

Postal Code:*

SECTION B:

ALL CLIENTS, PLEASE NOTE: The studio does not provide make-up classes for registered programs.

Choose your service options: (Personal Training and Personal Coaching cannot be purchased online; please give Ashley a call to complete your purchase for these items).

SERVICE OPTIONS AND FEES:

45 Day Yoga Challenge$45.00CAD

Payments are FINAL SALE non-refundable, non-transferrable. Credits will not be issued for missed classes. Make-up classes will not be provided if you miss a class. This is a 'challenge' after all!

Enter coupon

What is the name of the Class/Program you are registering for?*

SECTION C: Liability and Disclaimer.

SECTION D: WAIVER ALL PARTICIPANTS - Liability Wavier; please read carefully. Glossary: "Club/Studio" refers to South Asian Arts Movement Society, The Balance Code Yoga & Wellness Ltd. and The Confidence Coach and any associated partners/representatives involved in the class/event. Assumption of Risk of Injury and Wavier of Claims: I assume all risks of injury and waive all rights to pursue money damages or any other relief of any kind as a result of anything occurring at or near the Club/Studio location or any other venue used by the Club/Studio or its employees, officers, directors or other representatives (including but not limited to dance and/or fitness instructors and/or personal trainers and/or artists managed by the Club/Studio and/or contractors of any type). In the event I am injured while on a property the Club/Studio uses to conduct classes, performances, or workshops, I will hold harmless the Club/Studio and all of its owners, shareholders, directors, volunteers, sub-contractors, employees, agents, representatives, successors and assigns from all claims of any sort for damages or relief, including but not limited to claims for contribution. I acknowledge there is possible danger connected with any physical activity (including the dangers of physical injury and death) and knowingly and voluntarily waive my right to make a legal or equitable claim of any sort against the Club/Studio and all of its owners, shareholders, directors, volunteers, sub-contractors, employees, agents, representatives, successors and assigns from all claims of any sort for damages or for other relief, including but not limited to claims for contribution. This assumption of risk and wavier of liability applies to my family members, successors, heirs, and assigns. Physical Condition and No Medical Advice: I represent that I am in good physical condition and have no medical reason or impairment that might prevent me from my participation or intended use of the Club/Studio and the services offered. I acknowledge that the Club/Studio and all of its owners, shareholders, directors, volunteers, sub-contractors, employees, agents, representatives, successors and assigns will not and cannot provide me medical advice relating to my physical condition and ability to use the facilities/participate in programs/classes. If I have any health or medical concerns now or after joining a class, I will discuss them with my doctor before attending & participating in any classes or using the Club/Studio"s services. Death/Disability Clause: If I die or become totally or permanently disabled, upon reasonable written notice to the Studio/Club Owner of the death or disability, either I or my estate may cancel this agreement and receive a pro-rata refund for my unused sessions/classes. Cancellation and Refund: Programs offered as a promo discount or low-fee "challenges" are not refundable. In other circumstances where regular fees have been paid, to cancel this agreement, the client must notify the Club/Studio Management in writing. A refund of unused classes, MINUS a 30% administrative charge, can be provided upon withdrawal from any registered program EXCEPT in the cases where the fees paid or program purchased were purchased on sale or discounted - in this case all fees are FINAL SALE - no refunds will be issued. I, the undersigned, waive and release the Club/Studio and its owners, shareholders, directors, volunteers, sub-contractors, employees, agents, representatives, successors and assigns from any and all claims in any way connected with my participation. This agreement is binding on my heirs and executors. I understand that ALL aspects of this wavier apply to any children that I bring with me to any of the classes/programs/events/meetings or gatherings offered or facilitated by Club/Studio. I acknowledge that I am the legal guardian of the child(ren) listed on this form (if any). By signing this document, I acknowledge that I have read or heard this document in its entirety and that I fully understand it. I have asked any questions that may have occurred to me and have been answered to my satisfaction. A legal guardian/parent must sign for any participants under the age of 18 years. Your typed signature below will be considered identical to your actual signature if this form is submitted electronically. **

Date Signed:*

Date

Please remember to bring your own water bottles. Only clean INDOOR running/fitness shoes with non-marking soles are allowed in our studio. Absolutely no outdoor shoes. You may go barefoot at your own risk and/or if the class is required/conducted barefoot (e.g. yoga, stretching or dance-fitness classes). For yoga classes, please bring your own mat and any desired props that you'd like to use. We have some props available, but you may prefer to use your own. Please note, our Yoga Classes employ the use of Aromatherapy and is not suitable for those who are sensitive to scent.

How did you hear about us?*