MYI REGISTRATION

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We acknowledge the support of the Pender Island Parks and Recreation Commission

to the Pender Island Health Care Society (PIHCS) Maintain Your Independence Exercise Program.

MYI Exercise Classes

November & December

Class Registration Form

Monday and Wednesday classes take place at the Community Hall,
4418 Bedwell Harbour Road.

Tuesday, Thursday and Friday classes are held in the Fireside Room at the

Anglican Church, 4703 Canal Road.

* Name

0/50

* Email Address

0/50

* Phone Number

0/50

Strength Training for Overall Health with Stacy Packford. Mondays, November 2 to December 21; 9:30 - 10:30

Drop-in class $10

Moderate Yoga with Candace Aldridge. Tuesdays, November 3 to December 15; 9:30 - 10:30

Drop-in class $10

Chair Yoga with Candace Aldridge. Tuesdays, November 3 to December 15; 10:45 - 11:45

Drop-in class $10

Essentrics with Heather Hansen. Tuesdays, December 1 to December 22; 12:00 - 1:00

Drop-in class $10

Advanced Strength Class with Stacy Packford. Wednesday, November 4 to December 16; 9:30 - 10:30

Drop-in class $10

Moderate Yoga with Candace Aldridge. Thursdays, November 5 to December 17; 9:30 - 10:30

Drop-in class $10

Chair Yoga with Candace Aldridge. Thursdays, November 5 to December 17; 10:45 - 11:45

Drop-in class $10

Yin Yoga with Candace Aldridge. Fridays, November 6 to December 18; 10:30 - 11:30

Drop-in class $10

* 𝐋𝐈𝐀𝐁𝐈𝐋𝐈𝐓𝐘 𝐑𝐄𝐋𝐄𝐀𝐒𝐄 The MYI Exercise classes are designed to improve strength, flexibility, and balance. Participants are urged to recognize their limits and capabilities. The participant acknowledges that this class involves exercise and physical exertion and releases the instructors and the Pender Island Health Care Society from any liability. This applies to injury resulting from particular exercises and to general over-exertion from participating in the program as a whole.

I agree to the Liability Release

* The MYI Exercise Classes are partially funded by a grant from the Pender Island Parks and Recreation Commission. To track statistics, we would appreciate if you could please sign in for each class by placing a check mark beside your name on the form provided by your instructor.

I understand

* Please write your name and contact information on the sign-in sheets. If your instructor is unwell and is unable to contact a substitute teacher, they will do their best to contact any participants that have signed up on the sheet.

I understand

Maintain Your Independence Class Payment. You have four options for payment. If the cost poses a hardship, or you have trouble with the form, contact activities@penderislandhealth.org for assistance.

DEBIT Card – you can now pay for a full session or a drop-in fee with all of your instructors

E-transfer – send e-transfer to the following email address: accounts@penderislandhealth.org Add a note to say your name and what you are paying for. For example: Marcella Moderate Yoga Thursday $50

Cash – on the daily sign-in sheet please write down your name and the amount you have added to the envelope.

Cheque - Payee is PIHCS

E-transfer Only - I have transferred $

0/250

Submit

Pender Islands Health Care Society | 5715 Canal Road | Pender Island, BC V0N 2M1 CA

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