Upcoming Events

Centered in a Time of Chaos
Fri, Jun 23
Dardanelle
Jun 23, 2023, 4:00 PM – Jun 25, 2023, 11:00 AM
Dardanelle, Highway 108 Sonora Pass, Dardanelle, CA 95364, USA
Life is unpredictable. It is sometimes crazy. Flow through the chaos to a more awakened You.
RSVP

Medical & Liability Questionnaire

Please fill out the following form to help us

understand your current physical condition.

First Name

Email Address

Last Name

Date of Birth

Have you practiced yoga before?

Yes

Do you have a specific area of your body that is more sensitive or weak?

Check all that apply

Taking medications due to a medical condition, illness, or injury

Have food or other allergies

Suffer from asthma

Are pregnant or trying to become pregnant

If you answered yes to any of the above questions, please elaborate

Are you 21 years of age or older?

Emergency Contact Name & Number:

How did you hear about us?

Friend/Family

Facebook/Instagram

Google

COVID POLICY: I will request special accommodation for social distancing prior to event including being 6' from the other event participants. I will bring and use my mask if I feel that is what is safe and acceptible for me. I accept these terms & conditions.

Your Signature

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

themountainomyoga@gmail.com