Participant Info

Yoga participants must be at least 18 years of age
This form is for one participant only, for one block of sessions only.
For additional registrants, or to register for another block of sessions, please submit a new form.

First Name*

Last Name*

Email*

Age Requirement*

This person is 18 years of age or older

Registration Fee*

Street Address

Address Line 1*

Address Line 2

City

Province

Postal Code

Phone Number*

Notes or Special Requests

Emergency Contact

Emerg. First Name*

Emerg. Last Name*

Emergency Contact Phone Number*

Health Information

Does the participant have any health concerns they want the leader/organizers to be aware of? (e.g. potential for seizures, respiratory distress, or cardiovascular events)

Health concerns?*

NoYes

Health Concerns*

Get Involved

Are you interested in potentially volunteering with Boyle Council? If yes, we may reach out to you at a later date.

Interested in volunteering?

YesMaybeNo

Waivers

Photo Release

My photograph, if taken, may be used for promotional purposes*

YesNo

Accident & Injury

By ticking the checkbox below, I hereby release and hold harmless the Boyle Memorial Community Centre and all other persons or entities associated with the Boyle Memorial Community Centre from any and all injury or damage, for any claims or causes whatsoever, for any loss or injury suffered by me, or members of my family, while on the Boyle Memorial Community Centre property, or while participating in any function conducted or sponsored by the Boyle Memorial Community Centre/Boyle Activity Council, however the accident or injury occurred.

Accident & Injury Waiver *

I am the participant (or parent or legal guardian of the participant) and have read and agree to the terms and conditions above.

I agree

Please pay by credit card by selecting "STRIPE" below. If you are genuinely unable to pay by credit card, please select "offline payment" and immediately e-transfer Interac payment in full to boylecouncil@gmail.com. A password is not necessary, but please be careful to include the name of the participant and program(s) in the message-to-recipient area so we know who you are paying for! Cash payments are very time consuming for volunteers and are accepted only in exceptional circumstances. Thank you for your understanding!

Yoga Registration

Fall 2024

Starting Sept 23, 2024

Participant Info

Emergency Contact

Health Information

Get Involved

Waivers