Long Beach Public Library     About the New Look
West_Fun Fit Yoga For Youth,Saturdays, January 19, 26 February 2, 9, 16 @ 9:15-10:00am
Complete a new registration form for EACH child. Click on send to submit your completed form. Please complete the following form and click on the Send button below.

By selecting "Send" the parent/guardian of the participant acknowledges that the participant was advised to seek medical approval and that clearance prior to participating in this program and that the participant further HOLD HARMLESS, agrees to defend, and indemnify THE LONG BEACH PUBLIC LIBRARY, its employees, agents, representatives, sponsors, members and volunteers from any loss, liability, or claims, and expenses incurred in defending against any claims, loss or liability, including but not limited to, personal injury, medical emergency, and the costs of attorney fees made by any individual or entity as a result of or arising in connection with, out of or in relation to their participation in the program.

Long Beach Public Library
brivera@longbeachlibrary.org
Youth Services Program Registration Confirmation
What is the date of birth of the child? (required)

Thanks!
     

To submit this form, please click on the Send button just once...