Kids Yoga Registration Form

Preferred Location *

San Jose

Mountain House

San Jose - Program Options: ** Please select your primary class day. Students are welcome to join on additional days for extra practice. * Program fee: $75 monthly (1 class/ week). $150 monthly (2 classes/ week).

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Interested in discovering more opportunities for you or your family? Explore UPF Cal programs in Yoga, Meditation, Bhagavad Gita, Kalari Payattu, Kathak, Slokas & Mantra chanting, Hindustani Music, Mridangam, and more for children, youth, and adults.

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Mountain House - Program Options: *

Fridays, 6 - 7 PM PT

First Name *

Last Name *

Date of birth *

Email *

Address

City

State

Postal code

Phone *

Parent's Full Name *

Gender *

Male

Female

Other

Please provide information about your child's current health status, any known allergies, and any ongoing medications. *

Customers/Students Photos and Videos During Class *

Yes

No

I acknowledge and grant Universal Peace Foundation California and their representatives permission to use my child/children's image, voice, and recordings in various formats, including video and still images. I understand that this content may be copied, exhibited, published, or distributed without any expectation of compensation. I acknowledge that these recordings may be displayed online or in public, and this permission has no time limit. This release specifically applies to the recordings of the session listed on this document. I have read and understood this release and agree to its terms. I release Universal Peace Foundation California and its representatives from any claims related to the legitimate use of these materials.

Liability Waiver - Parent or Guardian sign on-behalf of the student *

I Agree

PARTICIPANT ACKNOWLEDGMENT, ASSUMPTION OF RISK & RELEASE OF LIABILITY I understand and acknowledge that participation in Yoga, Meditation, Kalaripayattu, Kathak, Music, Bhagavad Gita, Beats of the Soul (free dance), and other cultural, educational, wellness, or physical activities offered by Universal Peace Foundation California (“UPF Cal”) may involve physical movement and other activities that carry inherent risks, including the possibility of physical injury.I voluntarily choose to participate, or authorize my child to participate, and knowingly assume the risks ordinarily associated with such participation.I represent that I, or my child, am reasonably able to participate in the selected program. I agree to disclose to UPF Cal any known medical condition, injury, physical limitation, or other circumstance that may reasonably affect safe participation. I understand that it is my responsibility to consult an appropriate healthcare professional regarding any concerns about participation.In consideration of being permitted to participate in programs offered or sponsored by UPF Cal, I hereby release and discharge Universal Peace Foundation California and its directors, officers, instructors, employees, volunteers, and authorized representatives from claims arising from the ordinary risks of participation or ordinary negligence, to the fullest extent permitted by California law.This release does not apply to gross negligence, willful misconduct, or any other liability that cannot legally be waived.If I am signing on behalf of a minor child, I represent that I am the child's parent or legal guardian and have authority to provide this consent and authorization for the child's participation. ACKNOWLEDGMENT OF PROGRAM PURPOSE I understand that UPF Cal's yoga, meditation, spiritual, cultural, and educational programs are offered for purposes including physical and mental well-being, self-awareness, inner peace, personal development, and the cultivation of Santhosam — inner contentment and well-being.I understand that these programs are educational and spiritual in nature and are not a substitute for medical diagnosis, treatment, psychotherapy, or other professional healthcare. CONFIDENTIALITY OF DESIGNATED PRACTICES & MATERIALS I understand that certain meditation practices, spiritual techniques, instructional methods, course materials, recordings, and teachings provided by UPF Cal may be designated as being for the participant's personal practice and learning.I agree not to teach, reproduce, record, distribute, publish, or disclose any technique or instructional material specifically identified by UPF Cal as confidential or restricted, without prior written authorization from UPF Cal. ACKNOWLEDGMENT I confirm that I have read and understood this Participant Acknowledgment, Assumption of Risk, Release of Liability, and Confidentiality Agreement. I have had the opportunity to ask questions before agreeing to its terms, and I voluntarily consent to participation for myself and/or my child.

Communication Terms and Condition *

I Agree

I fully understand and agree to receive Email/Phone calls/SMS messages from Universal Peace Foundation California for communicating like class timings changes due to weather or other reasons, new/upcoming events, UPF India programs and important announcements. Unless otherwise required by law, I understand that UPF Cal never shares any contact info to anyone outside of the organization for any marketing purposes.

Parent or Guardian Signature *

Clear

Kids Yoga Registration Form

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