POWER Presents

POWER YOGA Registration

Yoga offers numerous physical, mental, and emotional benefits, including increased flexibility, strength, balance, and relaxation. It is also known to reduce stress, anxiety, depression, improve sleep quality, and enhance overall well-being.

Well trained Instructor Reema Mohanta has 10-plus years of experience, she also participated in the National Yoga Championship in India.

Women and kids above 10 yrs only.

This will be on every Thursday from 7 pm to 8 pm, at Mechanicsburg PA

Starting JUNE 6TH 2024.

Please fill out one form for each individual.

Name *

Phone *

Email *

Age Group *

Registration fee is $15/month or $30 for three months $15.00 Registration fee is $15/month or $30 for three months

Amount Due

WAIVER AND RELEASE OF LIABILITY *

Event Name: POWER YOGA

Date: June 6th 2024 - AUG 30th 2024

Place: 1480 JERUSALEM RD, MECHANICSBURG, PA 17050

I acknowledge that YOGA can be an extreme test of a person’s physical and mental limits and that my involvement in the "POWER YOGA PRACTICES can cause serious injury, property damage potential death. With a full understanding of the potential risks, I HEREBY ASSUME THE RISKS OF PARTICIPATING OR OFFICIATING IN A YOGA PRACTICE SESSIONS.

I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors, and assigns: a) I WAIVE, RELEASE, AND DISCHARGE from any and all claims or liabilities for death or personal injury or damages of any kind which arise out of or relate to my traveling to and from or my participation in any sports event, THE FOLLOWING PERSONS OR ENTITIES: POWER Women and their associated administrators, organizers, directors, sponsors, officers, staffs, representatives, volunteers and agents; b) I AGREE NOT TO SUE any of the persons or entities listed above for any of the claims or liabilities that I have waived, released or discharged herein; and c) I INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions. Provide your full name, date and place in the section below.

Review and submit

Please review your response before submitting it for processing.

${response()}