Yoga Registration If you have any questions, please contact Mike at mike.macdonald.yoga@gmail.com or 908-310-7818 Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Address *Address Line 1Address Line 2City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeMobile *Choice of Class (Please click to choose) *H1: Level II/OpenH2: RestorativeIP1: Gentle IntroEmergency Name *FirstLastEmergency Phone *Agreement of Release and Waiver of Liability *By registering for and participating in Yoga instruction online, I agree that I am assuming all risks of personal injury I understand that Yoga, as with any physical activity, carries a risk of injury, and that online instruction involves a greater risk than instruction in person because the teacher cannot always see me and make adjustments or corrections to protect me. I accept that risk fully.In consideration of being permitted to participate in the Yoga classes, I knowingly, voluntarily and expressly waive any claim I may have against WAC, their instructors or any other legal representatives for injury or damages that I may sustain as a result of participating in the Yoga classes.I have read the above Agreement of Release and Waiver of Liability and fully understand its contents. I voluntarily agree to the terms and conditions stated above.To participate in "YOGA at WAC" you must agree to the above statement.Submit