Name *

First Name

Last Name

Phone

(###)

###

####

Liability Release *

I hereby consent to participate in the Vinyasa Yoga Flow and Stretch class. I understand that while the instructor will take all reasonable care to ensure the classes are safe and enjoyable, yoga involves physical activity that may carry some risk of injury. I acknowledge these risks and take full responsibility for any personal injury I may sustain during participation in this program. I agree to release and discharge Kaitlyn Cautero from any claims, liabilities, or causes of action that may arise in connection with my participation in the yoga class.

Yes

Media Release *

I give my consent to be photographed or filmed while participating in the yoga class. I understand that any photos or videos may be used by Kaitlyn Cautero for promotional purposes, without the use of my name or any form of compensation for such use.

Yes

No

Fee:

$100 per Month or $15 per Class After submitting this form you'll be redirected to a payment page.