Sign up for Kula Yoga Kids after school program. Parent / Guardian informationParent Contact Information* First Name Last Name Email* DOB Home phone*Mobile phone*Street Address*Address Line 2Zip Code*Child InformationChild Information* First Name Last Name Allergy information*If none type that in fieldKnown health conditions*If none type that in fieldList who can pick your child up from Kula* Upload photo of your childEmergency Contact Information Name*Relationship*Phone*Email* Media Release:* I hereby give my child permission to be photographed during the Kula Yoga Kids After School Program and Yoga classes and for those photos to be used in news media and promotional segments, and to publish videos or audio transmissions for advertising, websites, public information, DVDs, and any other lawful purposes. I understand that although my child’s photo may be used for advertising, his/her identity will not be disclosed, and I do not expect compensation and that all photos/videos are the property of Kula Yoga Kids LLC and it’s affiliates. Transportation Release:* I hereby give permission for the transportation of my child for the Kula Yoga Kids After School Program and its activities by modes of transportation agreed to by the program organizers. Referred ByHow did you hear about us?...FacebookKula Yoga MemberFlyerInternet SearchAnother ClientIn checking the box below I agree that Kula Kids Yoga is in no way responsible for the safekeeping of my personal belongings while I attend class. I understand that classes at may be physically strenuous and I voluntarily participate in them with full knowledge that there is risk of personal injury, property loss or death. I agree that neither I, my heirs, assigns or legal representatives will sue or make any other claims of any kind whatsoever against or its members for any personal injury, property damage/loss, or wrongful death, whether caused by negligence or otherwise.* I agree to the Kula Yoga liability waiver Untitled
