registration

NAME:

ADDRESS:

CITY:   PROVINCE:   POSTAL CODE:

BUSINESS NAME (if applicable):

PHONE NUMBER:

E-MAIL:

PLEASE SPECIFY THE COURSE/CLASS YOU ARE ATTENDING (course/class title, location, date):

* Please Check Off One Answer Below

BEGINNER STUDENT / NEW TO YOGA  INTERMEDIATE STUDENT  ADVANCED STUDENT 

HOW DID YOU HEAR ABOUT US?

Nanaimo News Bulletin
General Internet Search
BCRPA Website
BCRPA FItLifeBC Magazine
Yoga Alliance Website
Word of Mouth
Other

(case sensitive - use capital letters)

* Note: Type in the CODE from the image.

RISK WAIVER & CONSENT

I recognize that risk of injury or potential health risk may be involved in participating in the above-named program/activity.  In submitting my request for registration in this program/activity, I hereby voluntarily assume such risks associated with the participation.

I also, for myself, my heirs, executors, administrators, successors, and assigns, HEREBY RELEASE, WAIVE, WAIVE AND FOREVER DISCHARGE Red Door Yoga, and all associates with any of the programs/activities offered by Red Door Yoga, and all their respective agents, employees, visiting, substitute, or sessional teachers, elected and appointed officials, servants, contractors, representatives, successors and assigns OF AND FROM ALL claims, damages, demands, actions, causes of action or demands of any kind, whatsoever and however caused, arising to or to arise by reason of my participation in the program or any of its associated activities.

By submitting my registration form, I declare that I have read, understood, and agreed to the above Risk Waiver and Consent.  I also declare that I have read, understood, and agreed to the Red Door Yoga policies below.

ENROLLMENT POLICY: ENROLLMENT IS LIMITED AND IS CONFIRMED ON A FIRST COME FIRST SERVED BASIS.  ENROLLMENT IS CONSIDERED CONFIRMED ONCE PAYMENT IS RECEIVED.

CANCELLATION POLICY: NO REFUNDS WILL BE GIVEN FOR CLASSES OR COURSES.  IF CANCELLATION IS DUE TO MEDICAL ILLNESS, ACCOMPANIED BY A DOCTOR'S NOTE, THE CLASS AND/OR COURSE MAY BE TAKEN AT A FUTURE DATE. IF A CLASS AND/OR COURSE IS CANCELLED BY RED DOOR YOGA, A FULL REFUND WILL BE OFFERED.

MAKE UP POLICY: IF YOU MISS CLASSES WITHIN A GIVEN MODULE, YOU CAN ATTEND ANOTHER CLASS OR CLASSES WITHIN THE SAME MODULE TO MAKE CLASSES UP.  MAKE-UP CLASSES CANNOT BE TAKEN INTO FUTURE MODULES.  PLEASE CHECK WITH KAVITA MAHARAJ TO MAKE SURE SPACE IS AVAILABLE FOR YOU TO ATTEND A PARTICULAR CLASS.