New Students

For new students only. Please call or email the office to confirm availability before completing this form.
As classes are limited to 12 students, if contact is not made prior to completion of this form, we cannot guarantee a space in your preferred class is available, and your registration will be invalid.

* Please note: registration is not confirmed until full payment has been made.

BEST CONTACT TELEPHONE NUMBER *

IF OTHER, WHERE DID YOU HEAR ABOUT US? *

OCCUPATION *

EMAIL ADDRESS *

HAVE YOU PRACTICED YOGA BEFORE? *

Yes No

IF SO, WHERE AND WHEN? *

WHAT DO YOU HOPE TO ACHIEVE THROUGH THIS CLASS? *

PLEASE LIST CONDITIONS WE SHOULD BE AWARE OF SUCH AS HEADACHES, DIZZINESS, VERTIGO, SHORTNESS OF BREATH, HIGH/LOW BLOOD PRESSURE, PREGNANCY, RECENT SURGERY: *

PLEASE LIST ANY PHYSICAL LIMITATIONS THAT MAY AFFECT YOUR PARTICIPATION IN CLASS: *

PLEASE LIST ANY MEDICATIONS YOU ARE TAKING AND THE CONDITIONS FOR WHICH THEY ARE PRESCRIBED: *

AGREEMENTS *

I understand that Yoga includes physical movements as well as an opportunity to experience relaxation, stress reduction and relief from muscular tension. As with any physical activity, the risk of injury - even serious or disabling - is always present and cannot be entirely eliminated. If pain or discomfort is experienced, I agree to listen to my body, adjust the posture, and ask for support from the teacher. Yoga is not a substitute for medical attention, examination, diagnosis or treatment. Yoga is not safe or recommended for certain medical conditions. I will take responsibility to inform the teacher of any prior medical condition and/ or injury before class and follow suggested modifications in class. I understand that I may need to modify some postures and agree to follow the teachers instructions as failure to do so could lead to injury.

CANCELLATION POLICY *

$40.00 cancellation fee applies from the time enrolment is processed until 10 days prior to the beginning of term. If a student cancels after this date they will receive no refund or credit transfer without extenuating circumstances. Please be aware – students who miss classes without sufficient notification cannot make up those classes during current or future terms.

NEW STUDENTS

New Student ONLINE REGISTRATION FORM