Session Registration Form with Amber
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Email Address 
Phone Number (WhatsApp)
Which session are you interested to book? *
Required
Would you like for your session to be in-person or online?
Clear selection
What are the top 1 - 3 interests or aims that you have for this session? *
Do you have any areas of concern, injuries, limitations that you would like me to be aware of with regards to our sessions together?
Would you like these sessions to lead towards developing your own practice? If so, how much time do you have realistically for your practice? (i.e. 15min daily, or 30min twice a week, 20min three times a week, etc)
My agreement for this session is that I will give 24hr notice for any cancellation, otherwise pay in full. *
I understand that this session is not a substitute for medical attention, examination, diagnosis or treatment. I also understand that I should consult a physician prior to beginning any activity program, including yoga or dietary changes. I recognise that it is my responsibility to notify my teacher of any pregnancy, of any serious illness or injury before we commence our program together. I affirm that I alone am responsible to decide whether to partake in this session and that I take responsibility for the capacity in which I participate. I hearby agree to irrevocably release and waive any claims that I have now or 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! *
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