Agreements ~ I understand that it is my responsibility to know and discern my physical capacity and move appropriately in and out of postures/asanas during class and in my private practice. I understand that Yoga, by its nature, philosophy and design is meant to provide the body with greater ease. I also understand that movement by its nature has the potential of injury and that I am responsible for the results of my Yoga practices.

STUDENT

Name: _____________________________________________________________

Address: ___________________________________________________________

City & State: ____________________________________ Zip: ________________

E-address: _________________________________________________________

Phones: Home: ______________ Work: ______________ Mobile: _____________

Known physical limitations, if any: _______________________________________

Class dates & time: __________________________________________________

Non-refundable amount enclosed. Cash or Check: $ ________________________

Signature: ____________________________________ Date: ________________

TEACHER

Name: ____________________________________________________________

(for teacher only) Wks: 1 ___, 2 ___, 3 ___, 4 ___, 5 ___, 6 ___