New Student Registration

*By submitting this form, you are giving permission for your child to attend all Breathe & Learn classes and summer camp.  You also consent to the following:


I understand that personal injury can and may occur to my child, and I hereby authorize Breathe & Learn Instructors, to seek and consent to emergency medical attention for my child as needed; and I further agree to be liable for and to pay all costs incurred in connection with such medical attention.


I hereby release Breathe & Learn, Breathe & Learn Instructors and all studios that host Breathe & Learn classes from any and all liability, claims, demands, causes of action and possible causes of action whatsoever arising out of or related to any loss, damage or injury that may be sustained by my child while participating in or traveling to and from classes.


I give permission for photos and videos of my child taken during the workshop to be shared with family newsletters and used on social media or marketing materials related to Breathe & Learn.


I agree and consent to all of the above stated on the date I submit this form.