Please fill this form out as a requirement to participate in a private group class with Kaya. This information will remain confidential. This allows me to ensure
If the form does not submit, please scroll back up and complete any incomplete required cells, highlighted in red.
Yes, this does work on a mobile device!
When you arrive for your training you will sign a release waiver.
- that the course for which you are registered is appropriate for all participants attending
- that I am fulfilling my ethical and legal obligation to work within my scope of practice
- that I take on clients and students whom I can confidently help.
If the form does not submit, please scroll back up and complete any incomplete required cells, highlighted in red.
Yes, this does work on a mobile device!
When you arrive for your training you will sign a release waiver.