Latitude Yoga Study Enrollment

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Yoga Study Enrollment

Thank you for choosing to study at Latitude 44 Yoga Studio. We are oh-so honored you're joining us on this journey.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

Enroll me in... (check all that apply) *

Asana (in-person) $400 Anatomy (online) $250 Energetics (online only) $175 Energetics (in-person Santa Fe experience + online) $525 Meditation (online) $100 Philosophy (in-person) $250 Pranayama (online) $100 Teaching Methodology (in-person) $600

Paying via... *

Credit Card or Debit Card (+5% Credit Card Surcharge)

Card Type (we do not accept AMEX or Discover) *

Visa Mastercard

Credit card OR debit card #'s - REQUIRED to be processed *

Expiration Month *

Expiration Year *

I understand that online modules expire 6 months after purchase date. *

Yes, I understand.

I understand all purchases and enrollments are non-refundable and non-transferrable. *

Yes, I understand.

I authorize Latitude 44 Yoga Studio to process all module selections chosen above on the credit card provided. *

Yes, I approve.

I recognize that there are certain inherent risks associated with the activity, both online as well as being in a public space. I assume full responsibility for personal injury to myself and further release and discharge Latitude 44 Yoga Studio, LLC for injury or damage arising from the activity or from being in close contact with other people and common surfaces. I acknowledge the contagious nature of COVID-19 and voluntarily assume the risk that I and/or my children may be exposed to or infected by COVID-19 by attending Latitude 44 Yoga Studio and that such exposure or infection may result in personal injury, illness, permanent disability, and death. I understand that the risk of becoming exposed to or infected by COVID-19 at the Studio may result from the actions, omissions, or negligence of myself and others, including, but not limited to, Latitude 44 Yoga Studio employees, teachers, and other participants. I voluntarily agree to assume all of the foregoing risks and accept sole responsibility for any injury to myself and/or my children (including, but not limited to, personal injury, disability, and death), illness, damage, loss, claim, liability, or expense, of any kind, that I and/or my child(ren) may experience or incur in connection with our attendance at the Studio. On my behalf, and on behalf of my children, I hereby release, covenant not to sue, discharge, and hold harmless the Studio, its employees, agents, and representatives, of and from the Claims, including all liabilities, claims, actions, damages, costs or expenses of any kind arising out of or relating thereto. I understand and agree that this release includes any Claims based on the actions, omissions, or negligence of the Latitude 44 Yoga Studio, its employees, agents, and representatives, whether a COVID-19 infection occurs before, during, or after participation in any Latitude 44 Yoga Studio program. I agree to indemnify and defend Latitude 44 Yoga Studio LLC against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs. I agree to pay for all damages to the facilities caused by my negligent, reckless, or willful actions. I agree and acknowledge that I am under no pressure or duress to sign this Agreement and that I have been given reasonable opportunity to review it before signing. I further agree and acknowledge that Latitude 44 Yoga Studio LLC has offered to refund any fees I have paid to use its facilities if I choose not to sign this Agreement. I agree to a photography release wherein Latitude 44 Yoga Studio LLC can capture live and still images and share them by means of social media, live streaming, and marketing. I understand if the class is booked at capacity, pre-registered spaces we will be given away 5 minutes prior to class. I should arrive to class 15 minutes early to reserve my space. I understand that there are no refunds or transfers available for any class, event, workshop, Yoga Study module, or membership purchases. __________________________ If signing for a minor using the optional child care services, I understand my child/ren will be subject to certain inherent risks associated with the activity and I assume full responsibility for personal injury to my children (or the children I am guardian of), and further release and discharge Latitude 44 Yoga Studio for injury or damage arising from the activity. _________________________ If partaking in the optional Reiki services, I understand that the topics discussed in these sessions are for entertainment purposes only. You are responsible for your own care as an individual and understand that Latitude 44 Yoga Studio LLC is not responsible for your care. * *

Yes, I agree.

[Electronic Signature] *

Submit

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313 E. Madison Street
Eau Claire, Wisconsin 54703
Studio: (715) 828-3936
Email: latitude44yoga@gmail.com
Facebook @latitude44yoga
Instagram @latitude44yoga