Bookings Checkout | Kamalika-K

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.

Student's First Name

Email Address

Student's Last Name

Date of Birth

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Do you have any illness/health concerns that we should be aware of? I understand that if I am experiencing a health concern and I choose to participate in yoga classes, I will inform the instructor prior to class start and list them below.

Yes

Initials

Today's Date

Liability Waiver Confirmed

I declare that the info I’ve provided is accurate & complete.

Kamalika-K Participant Liability Release Form

Covid-19 Health Declaration

Karen Santorello, E-RYT500, RCYT

IASH | TSRY | YIN | DYW | Reiki | CPR/AED