Please list any injuries, surgeries, illnesses or other conditions you feel the instructor should be made aware of:
Please describe any prior yoga experience (if any).
Liability Release *
I release Everyday Miracles and its owners, employees, and agents, and will hold them harmless from any and all liability arising out of any personal injuries or damages, foreseeable or unforeseeable for me or my child, which may occur as a result of our participation in any class or program or activity sponsored by Everyday Miracles. I hereby declare myself and my child physically and mentally sound and capable of participation in those activities, programs, and I release Everyday Miracles and its owners, employees, and agents of any liability.