Kamalika-K Participant Liability Release Form

Please Complete the form to Confirm your acceptance of Liability Release Form.

Required Only the first time you are booking a class, for yourself or for your child.  Effective from first date signed.

Do you have any illness/health concerns that we should be aware of?
Check if you are experiencing a health concern that will still allow you to participate in yoga classes, and will inform the instructor prior to class start.
Covid-19 Health Declaration

This Health information can be completed now, and will be revisited  when you arrive at the studio.  Please review ALL questions & Submit form upon checkout.

Karen Santorello, E-RYT500, RCYT
IASH | TSRY | YIN | DYW | Reiki | CPR/AED

45 Upper Main St, #101

Essex Jct, VT  05452

802.871.5085

The Barns at Lang Farm

kamalikakwellness@gmail.com

FB: @kamalikakwellness

IG: @kamalika_k

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