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Seniors Yoga Class Registration Form - SALC Program

In this chair yoga class, you will be guided through a series of gentle movements and breathing exercises. The class will include poses done while seated in a chair and while standing, with modifications offered to suit your needs.

Instructor: Shawn Radcliffe, shawn.radcliffe@gmail.com

Shawn has been teaching yoga and meditation since 2009. He has taught a variety of classes, including gentle yoga, chair yoga, and individual or small-group sessions.

Program Details

Program Type: Chair Yoga
Location: Tobermory Community Centre - 7420 Highway 6, Tobermory
Dates: Tuesdays, ongoing
Time: 9:30am
Cost: Free for seniors 55+

This program is funded in part by the Government of Ontario through the Seniors Active Living Centres (SALC) Program. We gratefully acknowledge their support in helping us offer free and accessible activities that promote wellness, social connection, and active living for older adults in our community.

Participant Information

Name:

Date of Birth:

Phone Number:

Email address:

Do you have any medical conditions we should be aware of?

Yes

Emergency Contact Information

Name:

Relationship:

Phone Number:

Waiver and Consent

I understand that participation in Chair Yoga involves some physical activity and that it is my responsibility to consult with a healthcare provider before participating. I voluntarily assume all risks related to my participation.

Agreement and signature:

I agree to participate and accept the terms above.

Signature:

Clear