Yoga Release Form
IMPORTANT: PLEASE SIGN AND RETURN
TO THE YOGA INSTRUCTOR
TO THE YOGA INSTRUCTOR
I have read and understand the expectations and grading policies for the yoga class at DSA.
_____ My child has no health concerns at this time and may participate in yoga class. I will send a note if my child needs to adjust or limit his/her exercise in the future.
_____ My child has the following health concerns and may participate in yoga class with the following adjustments or modifications: ________________________________
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Student's name _______________________________
Student's signature ____________________________ Date _______
Parent's name ________________________________
Parent's signature _____________________________ Date _______