CENTRE FOR YOGA STUDIES NEPAL REGISTRATION FORM (All Information Will Be Con dential) Name: ……………………………………………………………………………………………….. Date of Birth: …………………………………… Occupation: …………………………………… Contact Number: .…………………………………………….. Email Address: ………………………………………………… Have you practiced yoga before? Please give details (when/where/type/how long for): …………………………………………… ………………………………………………………………………………………………………… ………………………………………………………………………………………………………… TERMS FOR LIABILITY: As consideration for being permitted to participate in yoga classes, I hereby agree that I, myself, my assignees, heirs, guardians and legal representatives will not claim against, sue or attach property of a liates of centre for yoga studies nepal for injury or damage resulting from my participation in any lesson, class, or activity. I hereby release centre for yoga studies nepal and all its agents and heirs from any and all such actions, claims or demands that I, my assignees, heirs, guardians and legal representatives now have or hereafter may have for injury or damage associated with my participation in ANY class, workshop, or private lesson o erings of centre for yoga studies nepal and for all claims, injury damages or liability su ered by me in connection with my lessons at any location where I have participated. My signature veri es that I am physically t to participate in Yoga classes, and a licensed medical doctor has veri ed my physical condition for participation in this type of class. Name: ……………………………………………………………………………………………… Date: …………………………………………… Signature: …………………………………………… fi ffi ff fi fi ff fi CYS Nepal Yoga Class Registration Form