Zum-ball-a At the old Hyde Park Elem. School Here’s a fun fitness fusion workout for you! 20 minutes of Latin-style dance for cardio, 20 minutes of strength/endurance training using the stability ball, and 20 minutes of flexibility with Yoga. We’ve got all the bases covered! Where: The old Hyde Park Elementary School, Rt. 9, Hyde Park (next to Regina Coeli) When: Tuesdays, Jan. 6 – Feb. 10, 2015 Time: 6:00-7:00 p.m. Cost: $50 for the series (6 classes) or $10/class for walk-ins. Instructor: Leigh Toth, Certified Personal Trainer, 200-hr yoga cert. Bring: a Yoga mat, stability ball, and a pair of dumbbells. Wear comfortable clothing. Questions: Contact Leigh Toth at (845) 309-4528 or [email protected] ----------------------------------------------Pre-registration Form ----------------------------------------------Zu-ball-a Old Hyde Park Elementary Cost: $50 Tues., Jan 6 – Feb. 10 , 2015 6:00-7:00 p.m. Name __________________________________________________________________________________________________ Address________________________________________________________________________________________________ _______________________________________________________________________________________________________ Phone __________________________________________________ E-mail_______________________________________ RELEASE & AGREEMENT I, the undersigned, hereby agree to participate in an exercise class and/or program offered by LAT Training. I understand that there are inherent risks in participating in a program of exercise. I warrant and represent that I am in acceptable health and that I may participate in the program. I agree that LAT Training, the Town of Hyde Park, and the HPCSD shall not be liable or responsible for any injuries to me or illnesses, loss, damage, or death resulting from my participation in the program; and I expressly release, waive, and discharge LAT Training, agents, and assigns, and the Town of Hyde Park, and HPCSD, from all claims, actions, or judgments which I or my heirs, executors, administrators or assigns may have or claim to have against LAT Training and/or its agents or assigns and Town of Hyde Park, and HPCSD for all injuries, illnesses or other damage which may occur in connection with my participation in the program. This release shall be binding upon my heirs, executors, administrators, and assigns. I acknowledge this release whether harm is caused by the negligence of the releasees or otherwise. I assume full responsibility, during and after my participation, for my choice to use or apply, at my own risk, any part of the instruction that I receive. I have read this release and agreement and I understand all of its terms. I execute it voluntarily and with full knowledge of its significance. ________________________________________________________________________________________________________ Signature Please make checks payable to: LAT Training Signature Mail to: Leigh Toth Date LAT Training 22 Molly’s Way Salt Point, NY 12578 LAT Training
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