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registration

NOTE: Your personal information collected on this form is confidential, and will be used only by Red Door Yoga. This registration form may be used to register for any Red Door Yoga program, course or class.
We Accept:                       Cash or Cheques
Make Cheques Payable to:   Kavita Maharaj
Send cheque payment to:    RED DOOR YOGA 
                                        303-4701 Uplands Dr
                                        Nanaimo, BC
                                        V9T 5Y2

TO REGISTER: Please Fill Out All the Information Below.

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 

 

(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.  I hereby willingly assume such risk of injury or health risk for myself and my participation in the program/activity.

In consideration of the acceptance of my application and permission to participate in the program/activity, I for myself, my heirs, executors, administrators, successors, and assigns, HEREBY RELEASE, WAIVE, WAIVE AND FOREVER DISCHARGE Red Door Yoga, all other organizations, associations and companies associated with any of the programs offered by Red Door Yoga, and all their respective agents, employees, officials, servants, contractors, representatives, elected and appointed officials, successors and assigns OF AND FROM ALL claims, demands, damage costs and actions 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.

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.

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