Bikram Yoga Online

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Bikram Yoga Online

New Student Registration

We are so excited to have you practice with us!

We have so much fun... and feel SO good... when we breathe, listen, and move together!!

Email *

Phone number with area code *

What is your first and last name? *

Please check the box(es) that applies:

I am 18 years of age or more, registering myself for yoga.

I am a parent/legal guardian, registering my child(ren) who is age 6 - 17. I understand that youth ages 15 and under must attend class with a parent/guardian/responsible adult until cleared by the director to attend alone.

I am registering myself AND my child(ren) for yoga for the first time.

If you are registering your child(ren), please list their first and last name(s) as well as their age(s). *

Physical/Mailing Address - please include street city, state, country, and post code *

Your Date of birth *

YYYY

Date of birth of youth participant (if applicable)

YYYY

How would you rate how you feel, on average, 1 being poor and 10 being excellent?

Poor, low energy, very stressed, and/or in pain

Great, good energy, low stress, no pain

Clear selection

How important is it to you that you feel good/better, reduce your pain, and/or improve your overall daily life functioning?

Not very important

Extremely important

Clear selection

Do you have prior yoga experience? *

Yes

Have you practiced Bikram Yoga before? (Yes/No) If yes, please describe how often you practiced, the number of months/years you practiced, and at which studio(s). *

At which studio(s) have you practiced Bikram Yoga? (For those who answered YES to the above question.)

If you have prior yoga experience other than the Bikram method, please describe the number of years you practiced, frequency of practice (times per week), the lineage or style of yoga, and the program(s) or courses you participated in.

Please check each box to indicate your understanding and agreement with each of the following statements: *

1. I am in sufficient physical health to have my heart rate elevated to 75% of its maximum, and to perform a variety of movement exercises.

2. I am able to and I agree to do my best to listen to all instructions given to me by you and your instructors as to when and how to perform and not to perform physical movements, resting periods, and breathing techniques. I will not perform other activities during the class unless instructed to do so or discussed with the studio director.

4. I will sit down on my mat to rest if I don’t feel good or if I need a break.

5. I will prepare for each class: I will drink 24-32 oz. of water in the 1-2 hours before class; I will not use drugs, alcohol, or narcotics within the 12 hours before class; I will not deliberately restrict calorie intake.

6. Phones, smart watches, and other electronic devices should generally not be used during yoga practice; I will place them in a different room or shut them off during yoga practice, unless I am on call and have spoken with the teacher before class.

7. I am aware that more information about the yoga practice can be found at the www.byca.yoga website, the Bikram Yoga Capital Area YouTube channel, and emails from the studio.

8. It is my responsibility to inform the teacher of any injury, surgery, or other conditions (such as pregnancy, high or low blood pressure, heart disease) which might subject me to higher risk of injury. I understand that if I have any such conditions, I enter this practice at greater risk, whether or not I have informed the teacher of the condition.

9. I recognize that yoga postures require physical exertion and may cause physical injury. I will not hold Bikram Yoga Capital Area, Ann Chrapkiewicz, or BYCAMI LLC - nor their owners, members, employees, instructors, volunteers, or contractors - responsible for any injury or damage that I may suffer as a result of participating in classes held online or in person at Bikram Yoga Capital Area, as a result of using its facilities, or as a result of taking live-streamed classes online. I will be responsible for the full cost of any medical treatment that may result.

10. I will not teach any “Bikram-influenced” yoga classes or trainings for a period of 3 years after my last class at BYCA, and I understand that a lineage-supporting training and apprenticeship program are required to teach Bikram Yoga.

11. The tuition and fees paid are non-refundable. Memberships are non-refundable, non-extendable, and non-transferable. Any exceptions are at the sole discretion of the studio owner of Bikram Yoga Capital Area.

By checking this final box, I indicate my signature and acceptance of all of the above.

Required

Please indicate today's date: *

YYYY

I have registered my student account on Karmasoft. (https://bycapital.karmasoftonline.com/member/accounts/sign_up) - not required but please just let us know. :) *

Yes

Please indicate which type of class/plan you have paid for and by which method (choose all that apply): *

I have not yet paid. I will contact ann@byca.yoga to arrange payment, pay online, or pay in-person before class.

I am a guest of a current BYCA member.

In-Person Intro/Trial, Punchcard, or Drop-In (paid by credit card)

In-Person & Livestream Monthly Membership (I understand that this charges monthly until I cancel; 15-days notice required)

New Student ONLINE Intro (credit card)

Online Drop-In or Punchcard (credit card)

Online-only Monthly Membership (I understand that this charges monthly until I cancel)

Private Intake Lesson & Consultation

Required

Thank you so much for filling out this form. We are really excited that you'll be joining us. Could you please share how you found out about practicing Bikram Yoga online with us? (Please check all that apply.) *

I have practiced at Bikram Yoga Capital Area in the past.

YouTube video of Ann's class

Facebook

Instagram

Word-of-mouth / friend / family member / coworker

Hope for Autoimmune Disease (BOOK)

Google search

Google Ad

Sparrow Hospital or Medical Education

MSUFCU Employee Promotion

DTN Resident Promotion

MSU Wellness/Work-Life

Other:

Required

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