Somatic Movement Education Workshops
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I wish to register for the following course/s *
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Name  *
Mobile number *
Year of birth *
Gender *
How did you hear about us? *
What would you like to achieve out of this workshop?  *
Any related educational background, work and experience with other  body-mind and somatic disciplines (such as dance, yoga, martial arts, somatic psychotherapy, bodywork, etc). Please include whether this experience has been casual, serious amateur, semi-professional or professional.  
The study of somatic movements is highly experiential, involving movement, voice, touch, witnessing and being witnessed. In these workshops, you will be exposed to a variety of teaching styles that will deepen your awareness of yourself, others, and the group as a whole. Please give us a sense of your preferred learning style as well as what kind of support you might need in this learning environment.  *
Any physical, emotional or other conditions or challenges that may affect your participation in classes? *
Is there anything else you would like us to know about you at this time? *
In case of emergency, please contact:
Please provide the details of the emergency contact.
Name of emergency contact *
Relation to you
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Payment
1. Please PayNow to UEN: 202350836K (The Yoga Language Pte Ltd) and type "SME - Your Name" under comment/ reference for tracing purpose. 
2. Screenshot the payment and whatsapp to +6590043925.

Thank you and see you soon!
Indemnity and Release Agreement
This section is to be completed by the participant or the parent / legal guardian if the participant is below 18 yo in which case consent of participation and release of liability of Tan Eng Chew, The Yoga Language and the teacher conducting the session from any risk of injuries from the minor's participation is assumed to be already granted. 
1. I understand that there is a possible risk^ in participating in the session(s) by The Yoga Language and her teachers/ therapists, hereafter referred to as “the teacher”. I acknowledge that it is my responsibility to consult a physician or doctor or specialist or gynaecologist regarding my (or my child's) ability to participate in the said activity prior commencing the lesson. I will inform the teacher of any health and medical conditions or updates, and precautions that needs to be taken before the lesson.           ^Risk of injuries or worsening symptoms or conditions arising from participating in the session. *
2. I (or my child) shall not attend any session at the teacher’s premises while suffering from any infections or contagious illness, disease or other ailment including but not limited to open cuts, abrasions, open sores or minor infections where there is any risk that such use or participation in such condition may be detrimental to the health, safety, comfort or physical condition of other persons. I will bring any such matters to the attention of the teacher if in doubt. *
3. I agree that any printed or soft copy materials provided or recorded during the session shall not be copied, or distributed (including uploading onto websites) without the expressed permission from the teacher. *
4. I shall accept the risks^ involved in the said session(s) above. I agree that The Yoga Language and the teacher shall not be liable in contract, tort, pre-contract or other representations or otherwise out of or in connection with my (or my child's) participation in the session and/ or usage of the teacher’s premises and other materials (including but not limited to props, furniture and session notes) for any claims, demands, damages, economic losses (including but not limited to loss of revenues, profits, contracts, business or anticipated savings), loss of good will or reputation, or special or indirect consequential losses in any case. This obligation to indemnify Tan Eng Chew, the teacher and The Yoga Language shall survive the termination of this Agreement.  *
5. I hereby grant permission to The Yoga Language and the teacher to take and use my (or my child's) image for purposes of display, publicity and advertisement, in promotional materials and website. *
6. I agree that The Yoga Language and the teacher may collect, use and disclose my (or my child's) personal data, as provided in my (or my child's) session application, or (if applicable) obtained as a result of my (or my child's) session attendance, for the following purposes in accordance with the Personal Data Protection Act 2012: (a) the application of the session; and (b) the administration / conduct of the session with the teacher. Please email our admin at admin@theyogalanguage.com if you wish to access and correct your personal data or withdraw consent to the collection, use or disclosure of your personal data. *
7. I consent to receive any information regarding promotions by The Yoga Language. *
8. I will inform the teacher if I am pregnant, currently have or have had at any time cancer or chronic illness. *
9. I acknowledge that somatic-based yoga is not a substitute for the advice of a medical professional. The teacher recommends that I will see a licensed physician or healthcare professional for any physical or psychological ailment.  *
10. If you are filling the indemnity form on behalf of your child, please state your full name here. 
Additional measures for Covid - 19
1. I shall not attend the lesson while feeling unwell, having fever, sore throat, cough, flu, runny nose; or is known to be a close contact to Covid-19 patient; or in the same household as a Covid-19 patient who is recovering at home. *
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