Name *
Name
Phone *
Phone
Phone number with country code
DOB *
DOB
Date of Birth
Please let me know if there is anything that will affect your yoga class. old injuries, medical conditions etc.
What would you like to achieve from your yoga class?
Disclamer *
By checking this box you take full responsibility for your own well being during your yoga practice and understand that yoga like any other form of physical exertion has inherent physical risks. If you have any health issues, you have mentioned them above and got the all clear from your Doctor.