Author: Creamer, Barbara (ED06)

Department of Education

Quispamsis Elementary School
290 Hampton Road
Quispamsis, N.B.
E2E 4N1

Mrs. B. Creamer, Principal
Mrs. K. Barrieau, Vice-Principal
Phone: 506-847-6207
Fax: 506-847-6250

QES Yoga Club
Dear Parents,
Quispamsis Elementary School will have a new yoga session beginning on Tuesday, April 19, 2016. It will be held every Tuesday afternoon from 2:45 to 3:45 pm for students in grades 3, 4 and 5. The last day for this session is Tuesday, May 24th.
If you would like your child to participate, please fill out the permission slip below and return it to your child’s Physical Education Teacher. There is room for 30 students, so students will be selected on a first-come, first-serve basis.
This session will be focusing on spring/summer related sports, with work on stretching and posing, to increase balance, muscle strength and flexibility.
A few things to remember:
• If you have a yoga mat, please send it with your child. If not, school mats will be provided.
• Wear comfortable loose fitting clothing.
• Send a note to your child’s teacher so they will send your child to yoga.
• Pick up your child promptly at 3:45 pm.
Thank you for your interest in yoga club! We’ll see you on the mat!
Gaspard Boucher, MSc Kinesiology, Physical Education Teacher, Certified Yoga Teacher (200 hrs.). - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - -- - - - - - - - - - - - Send this part to the school
QES Yoga Club
Student Name: __________________________________
Parent/Guardian Name: ___________________________________ Parent/Guardian Phone Number: ____________________
Parent/Guardian Email: _________________________________
Does your child have any acute or chronic injuries or health conditions? If so, what?__________________________________
Does your child have any disabilities or special needs that will need to be taken into consideration during yoga club?__________
Any other information you would like to share with the Yoga Teacher regarding your child?_______________________________
My child, ____________________________________________, has my permission to attend Yoga Club on Tuesday afternoons from 2:45 to 3:45 pm. I have provided correct information regarding emergency contacts and health information. I will let the school and/or yoga teacher know if my child’s health condition changes.
This waiver of liability represents my child’s voluntary participation in yoga club and my understanding of the minimal risk involved in participating in any exercise program.
Parent/Guardian Signature: ______________________________________________________
Date: _____________________