Child Information

Select Program*

Kids Yoga
Kids Yoga & Gita
Teens Yoga

Preferred Batch*

Preferred package*

Name*

First Last

Gender*

Male
Female

Age*

If the child has any illness and is undergoing treatment, please mention

Sibling Name*

First Last

Sibling Gender*

Male
Female

Sibling Age*

If the child has any illness and is undergoing treatment, please mention

Parent Information

Name*

First Last

Hidden

Address

Street Address City State / Province / Region ZIP / Postal Code

Mobile*

Email*

Declaration*

I understand, acknowledge and appreciate that, as with any physical activity, there is some risk of physical injury and damage associated with my participation in yoga. I represent that I am in good health and suffer from no physical impairment. In consideration of the privilege of participating in the yoga program sponsored by Universal Peace Foundation of North America, I hereby release, discharge and relinquish Universal Peace Foundation of North America, and its respective officers and employees, of and from all claims, demands, actions, and causes of action of any sort, for any injuries sustained in connection with my participation in the yoga program. By registering, I agree to the Privacy Policy, and consent to receive updates on upcoming Free/ Sponsored or exclusive yoga & meditation events from Universal Peace Foundation of North America.

I Accept the above mentioned Terms and Conditions

Total

$0.00

Kids Yoga Program

Youth Yoga Programs

Child Information

Parent Information