Class Registration - Sol & Skye Wellness

Please fill out the form below and click submit

Youth 1 (first and last name) *

First

Last

Date of Birth Youth 1: (MM/DD/YYYY) *

Child's Primary Care Doctor (First and Last Name) - please include info for all children participating: *

Child's Primary Care Doctor (Phone Number + Address) *

Any allergies or medications? *

Does your child require any special accommodations? Any physical or mental health challenges that I should be aware of? *

Youth 2 (first and last name)

First

Last

Date of Birth Youth 2: (MM/DD/YYYY)

Child's Primary Care Doctor (First and Last Name) - please include info for all children participating:

Child's Primary Care Doctor (Phone Number + Address)

Any allergies or medications?

Does your child require any special accommodations? Any physical or mental health challenges that I should be aware of?

Youth 3 (first and last name)

First

Last

Date of Birth Youth 3: (MM/DD/YYYY)

Child's Primary Care Doctor (First and Last Name) - please include info for all children participating:

Child's Primary Care Doctor (Phone Number + Address)

Any allergies or medications?

Does your child require any special accommodations? Any physical or mental health challenges that I should be aware of?

Primary Contact 1 (First and Last Name): *

Phone: *

Email *

Address (Street Address, City, State, Zip Code): *

Primary Contact 2 (First and Last Name): *

Phone: *

Email *

Address (Street Address, City, State, Zip Code): *

Emergency Contact (First and Last Name): *

Phone: *

Email *

Please provide your preferred phone # and/or email here to receive updates: *

Please list all additional people authorized to pick up your child(ren): (First + Last Name, Phone Number) *

Any additional concerns, goals, comments, or questions you wish to share:

Waiver: I have fully and carefully read this Release of Liability Waiver. I hereby voluntarily and expressly release Sol & Skye from any and all liabilities, claims, demands, rights or rights of action I may have, now or in the future, which is or may be related to or arise out of, either directly or indirectly: (i) my child’s participation in yoga instruction; or (2) any omissions, acts, or negligence of any sort of Sol & Skye. By signing this form, I declare that I am the parent / legal guardian of the minor child identified in this form and I am authorized to grant such permission. Please sign/type name below. *

As a parent/legal guardian or adult participant, I do hereby release and discharge Sol & Skye as follows in consideration of the services to be provided by Sol & Skye, LLC, and its Teachers/Instructors (collectively, “Sol & Skye”): • I understand that yoga involves stretching, balancing, and strengthening by moving through different yoga postures and creative movements. • I acknowledge that yoga is an activity that involves physical movements and opportunities for relaxation, stress reduction, and relief of muscular tension. I understand that, as is the case with any physical activity, the risk of physical injury, whether minor, serious, and/or disabling or causing death, cannot be entirely eliminated. • I know of no physical or mental condition that would prevent myself or my child from participating in yoga activities, exercises, or instruction. I will inform the instructor of any health or mental conditions that may prevent myself or my child from safe participation in yoga. • Yoga is not a substitute for medical attention, examination, diagnosis or treatment. I understand that I alone am responsible for keeping the instructor informed of my child’s health needs and deciding if he/she should practice yoga. • I understand that the instructor may provide gentle, hands-on adjustments or comforting touch and by signing this waiver I give my informed consent to these assists.