Weekly Online Classes from the Living Room
Complete this form to register for Imogen's new weekly classes:
 
Please complete one form per person.
Sign in to Google to save your progress. Learn more
Name *
Email *
Phone Number *
Have you practiced with Imogen before? *
About your practice - Is there anything Imogen should know about your practice (e.g., injuries or medical conditions) *
Is there anything else you would like Imogen to know?
Investment Choice: *
Please make a payment through Paypal with email: imogennorth@gmail.com
Imogen will be sending you a confirmation email to acknowledge your booking and Zoom login once she has received payment.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Luna London Yoga. Report Abuse