I hereby agree to the following:
My child has permission to attend a yoga class at Heart Prints Center for Early Education.
My child is participating in classes or services during which she/he will receive information and
instruction about yoga and health. I recognize that yoga requires physical exertion, which may be
strenuous and may cause physical injury, and I am fully aware of the risks and hazards involved. I
understand that it is my responsibility to consult with a physician prior to and regarding my child's
participation in any physical fitness program, including yoga. I represent and warrant that my child
has no medical condition that would prevent her/his participation in physical fitness activities.
In consideration of being permitted to participate in the yoga classes, I agree to assume full
responsibility for any risks, injuries or damages, known and unknown, which my child might incur as a
result of participating in the program. In further consideration of being permitted to participate in the
yoga classes, I knowingly, voluntarily, and expressly waive any claim I may have against the yoga
instructor, Heart Prints Center for Early Education, or The Regional Learning Alliance for injuries or
damages that my child may sustain as a result of participating in classes or workshops held at
If my child participates in other gross motor activities or events at Heart Prints Center for Early
Education (such as dance, martial arts, gross motor play outside, gross motor play inside etc.) I will
also assume full responsibility for any injuries that may result from her/his participation, participation, with the same considerations that this waiver stipulates for yoga.
I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.