Welcome to Bay Area Yoga Center, LLC
It is important to us to get to know our students. Please complete this form prior to attending your first class. The teacher will also have paper versions available at the Center. This form serves as a student questionnaire, as well as an agreement and liability wavier. Any information gathered is kept private and not shared. If you have questions or concerns, please don't hesitate to contact Kathleen Kelly (owner of Bay Area) at 920-265-2217 or kat@bayyoga.com
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First and Last Name: *
Address: *
City: *
State: *
ZIP: *
E-Mail Address *
Phone Number: *
How Did You Hear about Bay Area?
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List any current and past physical problems, injuries, or limitations you have had: *
Are you under a doctor's care or taking medications? *
If yes, what and why?
Please explain briefly why you are interested in studying yoga. What do you hope to gain from your practice?
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