Classes: Wednesday Yoga - Summer Session 2022 (JUN 15 - AUG 24) Participant InformationDate MM slash DD slash YYYY Member / Non Member* Member Non Member Gender*MaleFemaleSession Choices (Jun 15/Aug 24)July/Aug SessionDrop-InNo Class July 13 & July 19; 9-week sessionName* First Last Email* Phone*Jun 15/Aug 24 Session - Member Price Price: July 15/ Aug 24- Non-Member Price Price: Drop in - Member Pricing Price: Drop in - Non Member Pricing Price: Agreement, Release & Waiver of Liability I AgreeI hereby agree to the following: I understand that yoga, as with any physical activity, carries a risk of injury, and that online instruction involves a greater risk than instruction in person because the teacher cannot see me and make adjustments or corrections to protect me. I accept that risk fully. I am in good health and suffer from no physical impairment which would limit my participation in Tuckahoe Recreation Club’s / Denise “Fritz” Partlow’s programs. I acknowledge that Tuckahoe Recreation Club and Denise “Fritz” Partlow have not and will not render any medical services including medical diagnosis of my physical condition. I specifically agree that Denise “Fritz” Partlow, Tuckahoe Recreation Club, its officers, employees and agents shall not be liable for any claim, demand, cause of action of any kind whatsoever for, or on account of death, personal injury, property damage or loss of any kind resulting from or related to my participation in online yoga instruction, and I agree to hold Tuckahoe Recreation Club and/or Denise “Fritz” Partlow harmless from the same. I have read the above release and waiver of liability and fully understand its contents. I voluntarily agree to the terms and conditions listed above.Online Processing Fee: $0.00 Total $0.00 Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20222023202420252026202720282029203020312032203320342035203620372038203920402041 Expiration Date Security Code Cardholder Name