New student form
We need to gather some information from you. The reasons for this are to a) safeguard your health and safety, b) it's a professional insurance requirement and c) for contractual purposes. Your data is kept on the cloud and is reviewed yearly, finally being deleted after 7 years. For more information please see the Viveka Gardens Privacy Policy on vivekagardens.com.
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Email *
name *
mobile and/or landline (both preferred)
Name, day and time of class *
Required
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 *
previous yoga experience (briefly) *
what do you hope to gain from the classes? *
For your safety please let us know if you are affected by any of these. Please be in touch if you'd like to talk it over these or any other health difficulties or impairments. *
Please give details or add anything else you think we should know about. *
Please tell us about any food allergies (write 'none', if none)
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 *
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.
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