New Student Registration Form
Email *
Title *
First Name *
Last Name *
Contact Number *
Please add your country code
Profession *
Date of Birth *
MM
/
DD
/
YYYY
Are you interested in :
Physical
Online
Private Classes
Group Classes
Why are you interested in taking Yoga classes *
Required
In case you have any injuries or medical conditions / medications I should know about, please specify them here. Mention NA if it is not applicable. *
If this goes well, what would you hope would be the outcome from our practice together? *
If you are interested in private physical classes, please paste your location pin here:
If you are interested in private physical classes, please specify your street, building and house numbers:
What is your preferred payment method *
I understand that the classes will be confirmed only after full payment of package is done, at least 24 hours prior to the first session *
Required
I understand I should check with a trusted medical professional before starting any new exercise routine. (If you have an existing medical condition or injury, make sure your doctor approves of yoga as a rehabilitation protocol. Your health is your responsibility, please take care and err on the side of caution. ) *
Required
TERMS & CONDITIONS *
check all the boxes if you have read, understood, and agreed to all the terms and conditions of yoga classes as outlined below.
Required
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