Yoga with Jardine
We want to sign up !
Sign in to Google to save your progress. Learn more
Just a couple of questions and then we are good to go!
What's the name of the company? *
What's the name of the person representing the organization (department and designation) *
Contact information (email and mobile number) *
Why did you guys sign up for the Corporate Yoga Class ? (What's your corporate wellness strategy? How does it help it?) *
What type of class do you want to integrate into your Corporate Wellness Programme? Learn more about each by clicking on https://www.yogawithjardine.com/yogaclasses) *
Required
I am / We are interested to sign up for *
Required
For how many people? *
What days do you prefer to do your classes?  
What timings do you prefer to do your classes?  
When do you want to start? (subject for confirmation upon pre-payment) *
MM
/
DD
/
YYYY
I understand the terms and conditions of signing up for a class/classes *
Required
No Yoga Trapeze practice if student is on pain killers, currently pregnant, with stage 2 herniated discs, with cardiovascular disease, with hypertension, with glaucoma, with high blood pressure and if the student recently had surgeries or injuries they need to check with their doctors if it's ok to practice *
Required
Students shall take full responsibility for their own health and any illness or injury that may occur during class. They cannot hold the instructor responsible in the case of an accident or illness during practice. *
Required
Electronic Signature (please type your name) *
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
Google Forms