How did you hear about Viveka Gardens or this workshop *
emergency contact name and number - by adding this info you confirm you have the consent of the contact *
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previous yoga experience (briefly) *
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what do you hope to gain from the classes? *
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Please let us know if you are affected by any of these. Please be in touch if you'd like to talk it over. *
Please give details or add anything else you think we should know about. *
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Please tell us about any food allergies (write 'none', if none)
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Payment details
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I agree to take full responsibility for myself and for my personal property. The decision to participate in the activities is my own responsibility. 'Sign' by typing your name and date *
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Thank you. Lovely if you can confirm form completion and payment with an fb message or text to 07914 843619 or mail to fiona.law2023@outlook.com. See you soon.