Booking Form

Course Booking Form

* Indicates required field

Name *

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Email *

Phone Number *

Which course are you booking? *

Any Medical problems or current ailments, injuries or mental health issues? 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? *

Payment
Please select method of payment. Once you have submitted the form, then please submit your payment by either bank transfer (below) or credit/debit card on the 'payments' page here

Payments: *

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'

Recordings
Missed classes will have a zoom replay available that expires 7 days after the session. Courses or missed classes are non-transferable/non-refundable once the course has started. Payment secures your place.

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

Agree

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Course Booking Form

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