Customer waiver — LUCIE NORRIS YOGA

Name *

Name

First Name

Last Name

Postcode

Age *

Email Address *

Emergency contact name and number *

Are you a confident swimmer? (tick if YES) *

Medical Conditions *

Do you have any medical conditions which affect taking part in this activity? If YES, please state below..

By ticking the box below I hereby agree the terms and conditions. *

Your details will only be used to send you information on your booking but if you want to hear about future SUP Yoga classes please tick the box.

Please complete the form prior to arriving on site for your SUP Yoga Class. Anyone who hasn't completed the form will not be able to take part.