Account Set Up - Sol & Skye

Use the form below to create an account with Sol & Skye

All your information will be saved to make registering for classes, camps and events much easier!

Please create an account for your child (children) by filling out the information below.

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Sol & Skye Student Account

Email^*

Password^*

Password must be at least 7 characters long.

Enter password again^*

Password must be at least 7 characters long.

Student Information:

Youth One (First and Last Name):^*

Date of Birth:^*

Child's Primary Care Doctor (First and Last Name):^*

Child's Primary Care Doctor - Phone Number:^*

Child's Primary Care Doctor - Address:^*

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Any allergies or medications?^*

Does your child require any special accommodations? Any physical or mental health challenges that I should be aware of?^*

Youth Two (First and Last Name):

Date of Birth:

Child's Primary Care Doctor (First and Last Name):

Child's Primary Care Doctor - Phone Number:

Child's Primary Care Doctor - Address:

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Any allergies or medications?

Does your child require any special accommodations? Any physical or mental health challenges that I should be aware of?

Youth Three (First and Last Name):

Date of Birth:

Child's Primary Care Doctor (First and Last Name):

Child's Primary Care Doctor - Phone Number:

Child's Primary Care Doctor - Address:

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Any allergies or medications?

Does your child require any special accommodations? Any physical or mental health challenges that I should be aware of?

Parent or Guardian Info:

Primary Contact 1: First Name^*

Last Name^*

Primary Contact 1: Phone^*

Primary Contact 1 (email):^*

Primary Contact 1 - Address (Street Address, City, State, Zip Code):^*

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Primary Contact 2: First Name^*

Last Name^*

Primary Contact 2: Phone^*

Primary Contact 2 (email):^*

Primary Contact 2 - Address (Street Address, City, State, Zip Code):

Address Line 1

Address Line 2

City

State or Region

Country

Zip

Emergency Contact - First and Last Name: - this person will be contacted if neither one of the primary contacts can be reached^*

Emergency Contact Phone:^*

Emergency Contact Email:^*

Which phone # and email do you prefer to receive updates from?^*

Primary Contact 1
Primary Contact 2
Both

Please list all additional people authorized to pick up your child(ren): (First + Last Name, Phone Number)^*

Any additional concerns, goals, comments, or questions you wish to share:

Legal:

As a parent or legal guardian, I do hereby release and discharge Sol & Skye as follows in consideration of the services to be provided by Sol & Skye, LLC, and its Teachers/Instructors (collectively, “Sol & Skye”):

• I understand that youth yoga involves stretching, balancing, and strengthening by moving through different yoga postures and creative movements. I acknowledge that yoga is an activity that involves physical movements and opportunities for relaxation, stress reduction, and relief of muscular tension.
• I understand that, as is the case with any physical activity, the risk of physical injury, whether minor, serious, and/or disabling or causing death, cannot be entirely eliminated.
• I know of no physical or mental condition that would prevent my child from participating in yoga activities, exercises, or instruction. I will inform the instructor of any health or mental conditions that may prevent my child from safe participation in yoga.
• Yoga is not a substitute for medical attention, examination, diagnosis or treatment. I understand that I alone am responsible for keeping the instructor informed of my child’s health needs and deciding if he/she should practice yoga.
• I understand that the instructor may provide gentle, hands-on adjustments or comforting touch and by signing this waiver I give my informed consent to these assists.

I give permission to the instructor to provide gentle, hands-on adjustments, or comforting touch to my child.^*

I give permission to the instructor to share Yoga based philosophies, Sanskrit, and mudras (hand postures) associated with the practice of yoga (ie. Namaste).^*

Sol & Skye occasionally takes pictures of children during their programs and events. Please indicate below if you wish to give Sol & Skye permission to use photographs or videos of you or your child for promotional purposes.^*

I do give permission
I do not give permission

I have fully and carefully read this Release of Liability Waiver and Media Release Form. I hereby voluntarily and expressly release Sol & Skye from any and all liabilities, claims, demands, rights or rights of action I may have, now or in the future, which is or may be related to or arise out of, either directly or indirectly: (i) my child’s participation in yoga instruction; or (2) any omissions, acts, or negligence of any sort of Sol & Skye. By signing this form, I declare that I am the parent / legal guardian of the minor child identified in this form and I am authorized to grant such permission. Please sign/type name below^*

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