Melé Yoga Existing Student Registration Form v5

To be completed by yoga class participants for in-person and online teaching.  If your medical conditions have changed please complete the "New Student Registration Form" Instead.

All information given will be treated in the strictest confidence and stored in accordance with Data Protection Legislation.
Ideally, please complete this form online here.  Or if you would prefer to print, complete and email a copy the links you need are below.

scroll to the bottom of the form and you will find the download link and email address.
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If you are attending a remote (online zoom class) you may wish to download The British Wheel of Yoga's Student Guidance notes.  The link is below.

Download a copy of the blank registration form: www.meleyoga.com/new-student-registration-form

Email your form to: mel@meleyoga.com

Remote Online guidance notes: www.meleyoga.com/links - BWY Student Guidance Remote Sessions

New Student Registration Form: www.meleyoga.com/new-student-registration-form

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Email *
First Name *
Last Name *
Email (Primary) *
Email (Other)
Mobile Phone *
Phone (Home/Other)

Can I contact you about new term dates and class updates (like what yoga kit to bring to class) and other updates?   If yes, please select how below:

 *
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Required
DECLARATION AND WAIVER - I agree to the following information *
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Signed  - Please type your Full Name to sign *
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Date Signed (DD MM YYYY) *
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DD
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YYYY
Signature of Parent/Guardian if student is under 18 years - Please type your Full Name to sign
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Parent/Guardian Date Signed (DD MM YYYY)
MM
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DD
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YYYY
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