Booking Form

Beginners Yoga - Course Booking Form

* Indicates required field

Name *

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Last

Email *

Phone Number *

Any Medical problems or current ailments or injuries? This should include any blood pressure problems, heart problems, respiratory, detached retina, current neck problems, disc problems, cancer, any surgeries that are not fully healed and anything else we should know. *

Are you pregnant? *

No Yes

Where did you hear about the course? *

Any other comments or questions for us? *

Please select method of payment. 6 week course £48 *

Bank Transfer - Miss C Conway, A/C 44177860 sort 30-62-96 Debit/Credit Card (please head to 'payments' page on drop down menu under 'live classes'

Missed classes will have a replay available that expires 5 days after the session. Courses or missed classes are non-transferable/non-refundable once the course has started. Payment secures your place. *

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Last

I understand my own body's challenges and take full responsiblity for my own practice. If you are unsure about practicing yoga, please seek medical advice from your doctor *

Agree

FORM COMPLETED BY *

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Beginners Yoga - Course Booking Form

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