Emergency contact person and relationship to you *
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Phone number and email of emergency contact person *
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How did you hear about us? *
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Medical History
Please give us details about any health conditions. Please note that we will not offer any advice in relation to any of these conditions. You may be required to get permission from your doctor to participate in the course.
Do any of the following apply to you?
Please give any details from above:
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Previous Yoga Experience & Motivation
Please tell us a little about your experiences with yoga. *
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Please tell us about your personal motivation for joining this course. *
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Any further comments
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Terms & Privacy: Please read carefully before signing below
By signing your name below you confirm that you have provided the information above to the best of your knowledge. You also give your permission for us to keep this data securely for a period of no more than 12 months. We request this data so that we best understand your needs and can deliver the course in a way that is appropriate to the applicant. If you would like us to delete your data at any time, please contact hello@thefrogproject.org.
Signature (please type full name here) *
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Date *
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Thank you for completing the application form. We'll be in touch shortly where you'll be required to pay £100 deposit to secure your spot. The balance will be due two weeks before the start of the course.
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