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Thursday Program - SD Mission Face to Face Yoga Registration of the Participant.
SD Mission Face to Face Yoga
Thursday Program
Web:
www.sdmission.org
E:
sdmission.aus@gmail.com
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* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Age
*
Your answer
Mobile Phone number
*
Your answer
Email address for communication with us
*
Your answer
What is your past Yoga training & practice
*
Choose
(L1) Beginner: New to Yoga: Never done Yoga before
(L2) Basic: Have done Yoga training and some practice of Yoga in the past
(L3) Intermediate: Have done Yoga Training & been practicing Yoga for some Years
(L4) Advanced: Have done Yoga Teacher Training or have formal Yoga Qualification
Please state any medical conditions and health challenges that you have. If nil, please state Nil in response
*
Your answer
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.
*
Yes, I 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.
*
Yes, I agree.
Required
What are you expecting to gain from your participation in this Yoga program.
*
Your answer
Emergency contact name
*
Your answer
Relation with emergency contact
*
Your answer
Emergency contact mobile number
*
Your answer
How did you hear about SD Mission Yoga program?
*
Facebook
SD Mission website
Friend
Radio broadcast
Letter Box Leaflet
Paper Magazine
COTA website
Other
Please provide Yoga Friend Code, if available. Otherwise, write Nil.
*
Your answer
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.
*
Yes
Required
Information provided in this form is my personal information and is true and correct.
*
Yes
Required
Signature
<please enter your name>
<please also enter relation with child if signing as guardian>
*
Your answer
A copy of your responses will be emailed to the address you provided.
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