YOGA REGISTRATION OCTOBER NOVEMBER PRIVATE SESSIONS NOVEMBER group yoga class registration Name First Last Email* Phone*SELECT YOUR CLASS PREFERENCE:SELECT YOUR CLASS PREFERENCE:*I want to register for the whole series of 3 classesI want to register for 1 yoga classI want to register for 2 yoga classesChoose your date:*November 5thNovember 12thNovember 19thChoose Your Dates:* November 5th November 12th November 19th 2 CLASSES Price: $30.00 ONE CLASS Price: $15.00 YOGA SERIES 3 CLASSES Price: $36.00 Do you prefer to pay by:* Credit Card Paypal Venmo I have already paid for this class PAYMENT INFORMATIONPrefer Venmo payment? Here‘s the link to my Venmo profile. Tap or click it, and be sure you‘re finding my true self.Payment Method*PayPal CheckoutCredit Card MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name * Please check if you have activated a Stripe feed for your form. Address* Street Address City State / Province / Region ZIP / Postal Code If you have a coupon please enter here: WAIVERUntitled* Your checkmark is consent to the waiver below.* I understand that my participation in yoga, mindfulness, TRE or any other modality taught by Angie Corogin will involve performing various movements, exercises and breathing techniques either in person or in a virtual setting. I agree to take full responsibility for not exceeding my physical, mental and emotional limits in these practices.I knowingly, voluntarily and expressly waive any claim I may have against Angie Corogin for injury or damages that I may sustain as a result of participating in these practices. My acknowledgement via checkbox verifies that I am participating in these classes, sessions, and workshops with my doctor’s full approval and I am agreeing that I am physically fit to participate. I assume responsibility to update Angie Corogin of any changes in my medical condition that might affect my safety or participation. I grant my permission to Angie Corogin to utilize any photographs, recordings and other content collected during our sessions. This permission is for use anywhere in the world and on the Internet and for an unlimited period of time. I acknowledge and agree to the terms contained herein, am fully aware of and assume the risks and hazards of participating in the classes, and agree to assume full responsibility for any and all injuries and/or damages known or unknown, which I may incur as the result of in person or online classes and/or the yoga practice with Angie Corogin. I hereby release Angie Corogin from any and all damages, injury, liability, negligence, and any other claims.Total $0.00 PREFER PRIVATE YOGA SESSIONS? Book a private 1:1 virtual session or package. BOOK A PRIVATE 3 SESSION PACKAGE BOOK A SINGLE PRIVATE SESSION October November PRIVATE SESSIONS SEE YOU ON THE MAT!