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Club Ujjayi 108
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Club Ujjayi108 Liability Waiver
Date of Birth
Do you have a doctor’s permit to participate in intense physical activities?
I hereby acknowledge this release from liability for accidental injury or illness which I may incur as a result of participating in any physical activity. I hereby assume all risks connected therewith and consent to participate in this program. I agree to disclose my physical limitations, disabilities, ailments, or impairments which may affect my ability to participate in this program.
I agree to the terms & conditions. By checking this Box I understand that there will be LASER LIGHT SHOW during class. Any Physical Impairments towards a LASER LIGHT SHOW must be disclosed before Submission for class. (Please Indicate in the Details below)
I declare that the info I’ve provided is accurate & complete
I accept terms & conditions
Please specify anything we should know about
Thanks for submitting!
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