Elemental Yoga Registration Form
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Email *
Full Name *
Phone Number (WhatsApp) *
Which class are you registering for? Last class for 2023 is Monday 18 Dec. *
Required
If you are joining the regular Monday classes, which date will be your first class? 
Fees (paid in cash)
15 € drop in 
65 € monthly package (5-class package, used within 2 months, can use for any classes at Surya Yoga)

You must pre-register with Amber at least 24 hours in advance for class (minimum of 2 persons needed to offer class). If you reserve a space and cancel less than 24 hours, there are no refunds (and payment will be requested in full if you have yet to pay).
 *
If you have yoga experience, please describe briefly (as well as let me know if you are new to yoga). *
Do you have any current injuries or physical challenges? Please describe and also indicate if you have seen a medical professional to assess? *
For females: 

If you are pregnant, how far along are you? Are you experiencing any complications in your pregnancy?

If you are postpartum within 5 years, how recently was your last birth? Are you experiencing any complications in your postpartum recovery?
I understand that yoga includes physical movements as well as an opportunity for relaxation, stress re-education and relief of muscular tension. Asana (yoga postures) means posture easily held. If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. As is the case with any physical activity, the risk of injury, even serious or disabling, is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will listen to my body and inform my teacher immediately. *
I understand that Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not recommended and is not safe under certain medical conditions. I should consult a physician prior to beginning any activity program, including yoga. I recognise that it is my responsibility to notify my teacher of my pregnancy, of any serious illness or injury before every yoga class. I affirm that I alone am responsible to decide whether to practice yoga. I herby agree to irrevocably release and waive any claims that I have now or hear free may have against (Embodied Living Pte Ltd, Amber Sawyer, UEN 202030481N). *
Please write your full name once more as an indication of your digital signature for this form. Thank you! *
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