Two- step registration process

Step 1: Complete registration form below & click submit button.
Step 2: You will be directed to donation button to complete your registration.

YogaCaps, Inc. presents...
4th Annual NH Yoga for Peace in Action
October 1, 2011

Address

Phone

Comments

Email address

CHOICE 4: Peaceful Easy Feeling - Judy Gross (goes until 11:30 am)

CHOICE 5: Creative Kids Yoga - Rosemary Todd Clough

CHOICE 6: Walking Peace Meditation - Barbara Landry

CHOICE 1: Kirtan

CHOICE 2: 108 Rounds of Surya Namaskar

CHOICE 3: Kids' Yoga

CHOICE 5: Yoga Class - Catherine Martin

CHOICE 4: Experiencing Peace through Raja Yoga - Brahma Kumaris

CHOICE 2: 108 Rounds of Surya Namaskar (join session in progress)

CHOICE 1: Kirtan

CHOICE 4: Yoga Class - Cathie Ryder

CHOICE 3: Earth Meditation - Diana Harris

CHOICE 2: 108 Rounds of Surya Namaskar (join session in progress)

CHOICE 1: Kirtan

CHOICE 6: Yoga Class - Christine Boucher

CHOICE 2: New Body Pathways for Pain-free Living - Ginny Jackson

CHOICE 1: Kirtan

CHOICE 3: Mantra Chanting - Rajeshwari

CHOICE 4: The Guru Planet: Activating your Inner Guru - Jill Jardine

CHOICE 1: Kirtan

CHOICE 2: Prana Nidra - Jay Gupta

Any special dietary restrictions?

CHOICE 3: Kundalini Yoga - Hari Kirin Kaur Khalsa (goes until 11:30 am)

I can't attend but want to make a donation to support this peace event

Please select one from this list Kirtan 108 Rounds of Surya Namaskar Kundalini Yoga w/Hari Kirin Kaur Khalsa Peaceful Easy Feeling w/Judy Gross Creative Kids Yoga w/Rosemary Todd Clough Walking Peace Meditation w/Barbara Landry

Please select all of the sessions you will attend:

I understand that all exercise programs and workshops involve the risk of injury. By choosing to participate in YogaCaps’ classes/workshops, I voluntarily assume any and all risks of injury. I will not perform any postures or movements which are painful and will respect my body’s abilities and limits. The natural practices shared in these classes/workshops are intended solely for educational purposes and to enhance general health, and are not intended to diagnose, treat, cure, or prevent any disease. Nothing should be considered as medical advice for dealing with a given problem. You should always consult your health care professional for individual guidance for specific health concerns. I hereby, on my own behalf and on behalf of my heirs, executors, administrators, and assigns, waive and release all rights and claims for damages I may have against YogaCaps, Inc. and all Event Presenters, Volunteers and Vendors, their parents, subsidiaries or affiliates, employees, agents, successors, and assigns (collectively, the “Releasees”) for any injuries I allegedly incur as a result of my participation in any of YogaCaps’ classes and workshops, whether caused by the Releasees’ NEGLIGENCE or any other person or cause. I am in good physical condition. I authorize my photo/image to appear in YogaCaps’ marketing materials.

Full Name

8:00 AM ~ Opening Ceremonies - Mayor Lozeau & Peace Poster Parade

9:00 AM ~ Subtle Yoga for Rejuvenation - Jay Gupta

10:00-10:45 am - Please choose one session.

Total number of people attending

Step 1:  Registration Form

New Hampshire
Yoga for Peace in Action

Saturday
October 1, 2011
Nashua Community College, NH

11:00-11:45 am - Please choose one session.

12:00-12:45 am - Please choose one session.

Attending Veg Lunch from 12:00-2:00 p.m.

3:30 -4:00 pm - Bhangra dance

2:45 - 3:15 pm - Laughter Yoga.

2:00-2:30 pm - Please choose one session.

1:00-1:45 pm - Please choose one session.

I understand that all exercise programs and workshops involve the risk of injury.  By choosing to participate in YogaCaps’ classes/workshops, I voluntarily assume any and all risks of injury.  I will not perform any postures or movements which are painful and will respect my body’s abilities and limits. The natural practices shared in these classes/workshops are intended solely for educational purposes and to enhance general health, and are not intended to diagnose, treat, cure, or prevent any disease.  Nothing should be considered as medical advice for dealing with a given problem.  You should always consult your health care professional for individual guidance for specific health concerns.

I hereby, on my own behalf and on behalf of my heirs, executors, administrators, and assigns, waive and release all rights and claims for damages I may have against YogaCaps, Inc. and all Event Presenters, Volunteers and Vendors, their parents, subsidiaries or affiliates, employees, agents, successors, and assigns (collectively, the “Releasees”) for any injuries I allegedly incur as a result of my participation in any of YogaCaps’ classes and workshops, whether caused by the Releasees’ NEGLIGENCE or any other person or cause.  I am in good physical condition.  I authorize my photo/image to appear in YogaCaps’ marketing materials.