Registration Form Name * First Name Last Name Email * Phone * (###) ### #### Aims (optional) Please summarise what you would like to achieve through these classes Experience * Please describe any previous experience with yoga (don’t worry if you don’t have any) Medical Information * Please provide details of any other relevant medical treatment/ operations/ medication Fees Please contact me to arrange payment. Cancellations If you can’t make a class, to avoid being charged, please let me know at least 24hrs in advance to re-schedule your appointment. Privacy & Confidentiality Any personal information you have shared will be kept confidential. We will not share any of the information you have provided here with any third party. Sign up to my newsletter Would you like to sign up to my newsletter to stay up to date with discounts, classes, retreats, workshops and more? Yes Please No Thanks Thank you!
