Thursday Program - SD Mission Face to Face Yoga Registration of the Participant.
SD Mission Face to Face Yoga
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
Age *
Mobile Phone number *
Email address for communication with us *
What is your past Yoga training & practice *
Please state any medical conditions and health challenges that you have. If nil, please state Nil in response *
I understand it is my responsibility to consult with my Physician about my medical conditions and health challenges before I join and participate in Yoga sessions.  I Understand and Agree. *
Required
I have read the document "SD Mission Yoga Program Terms, Conditions and Disclaimer".  This document is available at SD Mission website. I Agree with and Accept the Terms, Conditions and Disclaimers stipulated in this document. *
Required
What are you expecting to gain from your participation in this Yoga program. *
Emergency contact name *
Relation with emergency contact *
Emergency  contact mobile number *
How did you hear about SD Mission Yoga program? *
Please provide Yoga Friend Code, if available. Otherwise, write Nil. *
Mere registration does not provide me right to entry.  
I understand that I need to pay the specified amount to receive Participant Entry Pass for Yoga sessions.
 *
Required
Information provided in this form is my personal information and is true and correct. *
Required
Signature
<please enter your name>
<please also enter relation with child if signing as guardian>
 *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms