Name ____________________________________________________
Address___________________________________________________
City & Zip__________________________________________________
Home Phone________________________________________________
Cell Phone__________________________________________________
E-Mail Address_______________________________________________
Date of Birth_________________________________________________
Class Day & Times or Event:_____________________________________

Please print this form and mail to Hanford Yoga Center: 406 E. Seventh Street, Hanford, CA 93230. 
Make checks payable to:  Hanford Yoga Center.

Liability Release

It is expressly agreed that all use of the Hanford Yoga Center (HYC) shall
be undertaken by the participant at his/her sole risk.  HYC, its owners and
staff disclaim any liability, injury or loss arising from the exercises or
instruction given at HYC.  The instructional advice presented in any
HYC exercise program is in no way intended as a substitute for
medical counseling, and not all exercises are suitable for everyone.
To reduce the risk of injury, never force or strain and always consult
your physician before embarking on this or any other exercise program.
Your signature below indicates that you have read and agree to the
terms and policies as expressed within the liability release and the HYC brochure.

Signature_______________________________________   Date______________

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