Conscious Youth Online Class Registration



Number of Children
Child # 1:


Release Liability

I hereby grant my permission for the above named student to participate in the Flower Of Life Institute Conscious Youth Online Program and its affiliated activities, including permission for video recording of conversations between teachers and students for use in promotions and educational programs.

I understand this program is an educational experience with hands-on activities, teamwork, and building of selfconfidence. I further understand that I may ask any and all questions prior to signing this consent form.

I, therefore, agree to assume any and all risk for above-mentioned individual to be involved in the Flower Of Life Institute Conscious Youth program and other activities related directly or indirectly to it.


Hold Harmless Agreement

I understand this program is designed for “hands-on” activities, teamwork, and self-confidence. I agree not to hold the Flower Of Life Institute, Ethann Fox, any sponsoring agencies, and/or its staff or representatives liable in any way for mishaps which could occur due to the nature of the activity in which my child is engaged. I also understand that the Flower Of Life Institute staff reserves the right to terminate the participation of my child when it is deemed to be in the best interest of either the child, or the Flower Of Life Institute Conscious Youth Program, as determined by the Flower Of Life Institute staff.


I agree to the terms above.