Yogastock

Yogastock Registration Form

Please make cheque or money order payable to AYF.

Mail to Yogastock 13461 Woodbine Ave.,  Gormley, Ontario Canada L0H 1G0

Names of Adults and children; please include ages of children.

Adults Names

1.

2.

3.

4.

Children/Teen ; please include their ages

Age of Child or Teen

1.

2.

3.

4.

Address:

Province Postal code

Email address;

phone:

Have you been to an AYF retreat before? yes no If so, when?

I, and my heirs, in consideration of my participation in Yogastock at Gormley, Ontario, August 27th through August 29th, 2010, hereby release Andrea Roth and Alan Trimble and the Ashtanga Yoga Fellowship, their officers, employees and agents, and any other people officially connected with this event, from any and all liability for damage to or loss of personal property, sickness or injury from whatever source, legal entanglements, imprisonment, death, or loss of money or valuables, which might occur while participating in this event.
Specifically, I release said persons from any liability or responsibility for any losses, damages, or injuries to my person or personal property as a result of participation in Yogastock 2010.
I am aware of the risks of participation, which include, but are not limited to, the possibility of sprained muscles and ligaments, broken bones and fatigue. I hereby state that I am in sufficient physical condition to participate in Yogastock 2010, and all events therein, including but not limited to, asana, meditation, and pranayam classes; karma yoga responsibilities; kirtan and yagna participation; outdoor activities including but not limited to swimming, elemental exposure, tenting, and insects bites, hiking.
I understand that participation in this event and its program is strictly voluntary and I freely chose to participate. I understand that Yogastock and its organizers do not provide insurance of any kind, nor medical coverage for me. I verify that I will be responsible for any losses or medical costs I incur as a result of my participation.
__________________________________Date_________________________________________ (Signature of participant)