Personal Yoga Agreement | The WAM Center

Primary Parent's Full Name

Primary Parent's Email Address

Primary Parent's Phone Number

Additional Parent's Name

Additional Parent's Email Address

Additional Parent's Phone Number

Child's Name

Child's Age

Child's grade

What are your child's favorites: such as subjects, activities, songs, books, shows, movies, or interest in general?

Please briefly describe your child's interest in learning and any specific goals you have for the tutoring sessions.

Are there any strategies that have worked well for your child in the past?

Is there any important information about your child's learning style, preferences, or challenges that you would like the tutor to be aware of?

Do your child have any allergies?

Yes

No

Does your child have any medical conditions we should be aware of?

Yes

No

If yes, please list:

Please provide any additional health information, special needs, or anything else you would like your tutor to know:

What date would you like to start?

What is the frequency of classes (e.g., once a week, twice a week, three times a week)

I grant permission for The WAM Center to take photographs and videos of my child during yoga classes for promotional purposes, including social media, website, and printed materials.

Yes

No

Emergency Contact Name

Emergency Contact Phone Number

I, the parent/guardian, understand that participation in yoga classes involves physical activity and there is a risk of injury. I acknowledge that my child is in good health and able to participate in yoga activities. I assume full responsibility for any risk of injury, illness, or other harm that may occur during or as a result of my child's participation in yoga classes. (Check the box for I acknowledge)

In consideration of the opportunity for my child to participate in yoga classes at The WAM Center, I, on behalf of myself, my child, and our respective heirs, successors, and assigns, hereby waive, release, and discharge The WAM Center, its instructors, staff, and affiliates from any and all claims, demands, or causes of action for injury, negligence, illness, or other harm resulting from my child's participation in these activities. (Check the box for I acknowledge)

In the event of an emergency, I authorize The WAM Center and its staff to seek medical treatment for my child. I understand that I am responsible for any medical expenses incurred as a result of such treatment. I agree to promptly inform The WAM Center of any changes to my child's health or medical condition that could affect their ability to safely participate in yoga activities. (Check the box for I acknowledge)

Parent/Guardian Consent: I, agree to the terms & conditions outlined in this agreement. I understand the payment terms & policies and agree to adhere to them. I understand that consistent attendance & participation are crucial for my child's progress.

By Signing Here, Parent/Guardian Consent: I, agree to the terms & conditions outlined in this agreement.

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Personalized Children's SEL/ Yoga Agreement