Isha Hatha Yoga Registration form
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”Whatever work needs to be done, whatever opportunity comes your way, whatever you have to share – this is the time, not tomorrow.“ - Sadhguru
Email address *
Participant's first name *
Participant's last name *
Programme registering for, start date *
Gender *
Please give date of birth (DD/MM/YYYY) for children - below 18 years old
I speak: *
Required
Phone number *
WhatsApp number
Invest in your wellbeing now - enjoy a healthier, happier future!
Confirm your attendance in the programme by making a transaction for the full investment amount.
You can make a bank transfer in Swiss francs or in Euros (bank transfer or PayPal). The full amount should be received before the programme start date.

1) Swiss francs bank transfer:
Bank: BCGE
Account holder: Michelle Mayes
Bank: BCGE
IBAN: CH25 0078 8000 0502 8177 9
Account holder’s address: 7 avenue du Bijou, Ferney Voltaire, 01210, France

2) Swiss francs TWINT
Send to Michelle Mayes:
+41 77 401 51 88

3) Euros bank transfer:
Bank: Societe Generale
Account holder: Mlle Michelle Mayes
Bank name: Societe Generale
Account holder’s address: 9 rue du 18 aout, 74240 Gaillard, France
IBAN: FR76 3000 3001 0100 0509 4174 012
BIC: SOGEFRPP

4) PayPal: paypal.me/MM108

Name of account holder. (We will use this to match the transfer with the participant.) *
Payment method *
Amount transferred, date transferred *
Discount code / Unwaged (where applicable)
COVID
For the safety of all, please follow all local recommended prevention measures as much as possible and limit your exposure to COVID-19.

The Swiss Federal Council has announced that from Monday, 13 September till 24 January 2022, a COVID certificate will be required for everyone aged 16+ to access indoor areas of restaurants, cultural and leisure facilities, and events held indoors.

Guests without a certificate in establishments or at events where a certificate requirement applies can be fined CHF 100.

Please tick below to agree to the Covid guidelines and regulations put in place by the local governments, including any updates made between registration and programme date.

You agree not attend the programme if:
* You experience any symptom of Covid-19
* You have been exposed to someone with a suspected/confirmed case of COVID-19
* You have been diagnosed with Covid-19 (active case)

If you experience symptoms of COVID during or soon after a programme, ensure you inform the doctor about the programme, so that other participants can be made aware.

Please tick the box *
Medical History
Many Isha Hatha Yoga practices are not advised for women who are pregnant or trying to get pregnant, or for those recovering from an operation.

Please use this section to tell me honestly about your health, so I can recommend specific practices that may support you, or advise against other practices. The information will remain in confidence.

You may include: ladies who are pregnant (or trying to get pregnant) / open surgery in the last 6 months / keyhole surgery in the last 6 weeks / physical limitations / diabetes / heart conditions / communicable disease / spinal condition / chronic or severe pain / undergoing psychotherapy, psychiatric treatment or counselling / cancer / arthritis, osteoporosis / hernia / allergies / ligament injury / seizure, epilepsy / glaucoma / tinnitus.

Please mention if your doctor has advised you against doing certain movements or postures, or anything else you feel is relevant.

If you carry medication in case of an emergency, please give details of how the medication should be administered and which next of kin should be contacted in case of emergency.
Health Note 1
Health Note 2
Health Note 3
Responsibility and Liability
Agreement
• I understand that what I am taught during the Yoga programmes is for my own practice only. Therefore I will not teach others or demonstrate the practices for others to copy, either in person or online.
• I understand that Isha Hatha Yoga are tools for healthy living, but the workshops are not a substitute for medical attention, examination, diagnosis or treatment.
• As is the case with any physical activity, the risk of injury is always present and cannot be entirely eliminated. If I experience any pain or discomfort, I will seek guidance from the teacher.
• I hereby willingly undertake to attend this program completely. I take full responsibility for the result and indemnify the teacher, Michelle Mayes, against all claims and suits. I understand the participation guidelines and agree to follow them.
I accept above terms *
Travel and accommodation
Please use this section if you are able to accommodate a teacher or participant in your home or if you are travelling a long way to the programme. You can add extra details in the comments section at the end, if needed.
I live within 45 minutes' travel of the venue and can accommodate people in my home
Clear selection
I live more than 45 minutes from the venue and would love to stay with a participant during the programme on this date / these dates
Comments or questions
Your Data
The data you enter in this form will be stored and used to:
* check that your previous experience and health background match the programmes you are interested in taking with us
* keep you up to date with programmes and offers.
I do not sell or disclose this information to third parties.You may request to view the information I hold about you.You may also request to be removed from the mailing list at any time. However, once removed, it may not be possible to add you back.
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