Sign Up – SoulJuice

SoulJuice Sign Up Form

Fill out the form below and a SoulJuice team member will get back to you shortly.

Little Yogi's First Name

Little Yogi's Last Name

SoulJuice Parent's First Name

SoulJuice Parent's Last Name

What Offering Are You Signing Up For?

If You Are Signing Up For A Private Family Yoga Session, Please Tell Us Who Is In Your Family (Ages) & What Date & Time You Would Like To Book The Session For.

Would You Like To Order A SoulJuice T-shirt? ($25)

Yes No

If You Answered Yes, What Size Does Your Child Need?

6 8 10

Would You Like To Order A SoulJuice Hoodie? ($45)

Yes No

If You Answered Yes What Size Does Your Child Need?

6 8 10

If You Answered Yes, What Size Does The Parent Need?

What Do You Hope Your Child & Family Will Get Out Of Joining SoulJuice?

Have You Attended Any SoulJuice's Offerings Before?

Where Did You Hear About Us?

Is There Anything Else You Would Like To Tell Us About Your Child or Family?

I, the parent or legal guardian of the child stated above, understand that my child will be taking part in a kids yoga class through SoulJuice. I understand that yoga requires physical movement and body exertion which can result in accident or physical injury. I accept, that any yoga instructor, nor the hosting facility, SoulJuice, is liable for any injury, accident, damage to the student stated above or their belongings. I, the parent/guardian, understand that yoga cannot be used as a substitute for medical attention, diagnostics or treatment. I should consult a physician prior to starting this yoga program. I, the parent/guardian, recognise that it is my responsibility to inform the instructor of any illness or injuries before every yoga class. I will not preform any yoga postures that cause pain or strain. I acknowledge that for the Growth section of the SoulJuice Kids Yoga programmes my child will be participating in a shared video project. On this basis, I acknowledge and give consent that any video/photo content may be shared publicly (where appropriate) and be used for the purposes of SoulJuice marketing collateral and training purposes. I give consent to the use of my own and children’s photos during Family Yoga and that of my children's during Kids Yoga & Mindfulness Sessions in regards to the above marketing collateral and training purposes also.

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