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🌸 Kids Yoga at Clever Oaks Academy – Plantation, FL 🌸

8250 Peters Rd, Plantation, FL 33324


Hosted by Jyotirmaya Yoga Kendra


Children's Waiver


With over 20 years of experience teaching children yoga, mindfulness, and movement.

Dear Parents,


I would like to thank you for allowing me to teach your wonderful children about the ancient knowledge of Yoga. It is an honor to watch their minds expand and evolve into this aspect of understanding themselves.


The below is to address two things, Liability and Permission for Yoga.

Please read the below and sign if you wish to enroll your child in Yoga classes.

📝 Parent Permission & Waiver Form

(Required for participation – please return to your child’s teacher or bring to the first class)

A. I acknowledge and fully understand that my child will be engaging in physical activities that may

involve some risk of injury.


B. I acknowledge and have been advised that it is my responsibility to consult with my child’s physician

with respect to any past or present injury, illness, health problem or any other condition or medication that may affect my child’s participation.


C. I, the undersigned parent or guardian, understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment. In the case where my child has an injury, sickness or anything else that may be affected by physical activity, I have consulted with physician to ensure my child can take yoga classes.


D. I recognize that it is my responsibility to notify the instructor of any serious illness or injury before every yoga class.

Although we will never practice difficult exercises, please convey the following information to your child:


Asana (yoga posture) means posture easily held.


a) Yoga requires silence during practice in order for all the children to follow instruction and create concentration, if any child is distracting the class after given a warning, they will be requested to sit out. It is not fair to the other kids who are participating to have their yoga time limited.


b) Mediation means quiet our minds and think of a happy thought with a smile.

c) If it’s too hard or if it hurts, you can stop! It’s ok.

d) You may rest at any time during the class.

e) It is important in yoga that you listen to your body, and respect its limits on any given day.

Waiver of Liability:


I hereby release Jyotirmaya Yoga Kendra, Clever Oaks Academy, its teachers, and staff from any liability for injuries or damages my child may sustain while participating in yoga classes.

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By signing below (Or clicking Submit if filling this out virtually) you agree to the terms and conditions of the waiver.

Payment Method ($72): Zelle 954-241-4617 Jyotirmaya Yoga Kendra (preferred) OR Credit Card in person or via this link: https://www.paypal.com/ncp/payment/NQ5J5D3A9QT94

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