iRest Yoga Nidra Series Registration
I will email you to confirm registration. Payment is due upon registration confirmation in order to secure your spot. 

This online six week series will run April 2, through May 7, 2024, 7:00 pm - 8:15 pm EST. If you are unable to attend any sessions please let me know. Recordings of meditations will emailed out weekly. 

If payment is a barrier or if you have any questions, please contact me, Lilian Beck- lilianrbeck@gmail.com, 614-595-5792

Sign in to Google to save your progress. Learn more
Name and Pronouns *
Email *
Phone Number
Emergency Contact Name and Number
If you are new to my classes, please describe your experience with yoga and meditation.
Are there any accommodations I can provide during our time together? (closed captions, written materials, etc)
How did you hear about this event?
I will pay the $75 registration fee by: *
Disclaimer and Commitment to Mindfulness: I acknowledge that I am intentionally committing to a practice of meditation that may include breath work and psychological components. I hereby release and forever discharge, for myself; my heirs, executors and administrators, any and all claims to collect damages which I may incur in this activity, and any and all rights to such damages against Lilian Beck or her representatives, employees, agents or officials, directors, sponsors, or any officials of this program. I further represent that I am in good condition or I have spoken to my physician about my health issues and, as such, am able to participate in this program.
*
Date *
MM
/
DD
/
YYYY
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy