Register

Thank you for your interest in Bend -n- Breathe. We look forward to having you attend our upcoming sessions.
Please use the form below to register for the sessions:

*First Name:

*Last Name:

*E-mail:

*Phone Number:

*Gender:
—Please choose an option—FemaleMale

*Have you attended a yoga class with Bend-n-Breathe before?
—Please choose an option—YesNo

*Register for Session(s)
—Please choose an option—Hatha Yoga: SLEEPY TIME - 1 Session Drop-in ($25)Hatha Yoga: SLEEPY TIME - Full 8 Week Course ($180)

I have reviewed all the fields above and confirm that the information is accurate and true to the best of my knowledge. I understand that Bend-n-Breathe Yoga will not accept liability for any injury from your participation in this program due to information that failed to be disclosed. As is the case with any physical activity, the risk of injury is always present and cannot be entirely eliminated. If you experience any pain or discomfort you agree to listen to your body, adjust the posture, or stop all together. You affirm that you alone are responsible for deciding whether to practice Yoga. I also consent to information being used by Bend-n-Breathe and its associates to create a customized Yoga plan for me.
—Please choose an option—Yes, I have reviewed all of the above and agree.