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© 2019 by Noemi Capote of Noemi.CreativeSouls. Proudly created by Noemi Capote

Liability Waiver & Intake for Children

I hereby agree to the following:  


My child has permission to virtually attend Moonl1ght Str3tch(™), a yoga class.


My child is participating in classes or services during which she/he will receive information and instruction about yoga.  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 instructor, the owner, or the leaseholder of the building for injuries or damages that my child may sustain as a result of participating in classes or workshops held at online. 


I hereby give permission for images of my child, captured during Moonl1ght Str3tch, through video, photo and digital camera, to be used solely for the purposes of Moonl1ght Str3tch promotional material and publications, in any online platform including social media profiles, and waive any rights of compensation or ownership thereto.

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