Request edit access
Yogic Healing Registration
Hello and welcome!  Before attending your class or workshop with me.  Please provide some information about yourself.  All information is confidential and will not be used for any outside purposes.
Sign in to Google to save your progress. Learn more
Email *
First and Last Name *
Address (city, state, country) *
How did you hear about this offering? *
Which yoga offering are you registering for?  If registering for more than one, fill in this and the next section. *
Which yoga offering are you registering for?
Clear selection
Which yoga offering are you registering for?
Clear selection
Reasons for taking this class/workshop.  What are you seeking? *
Previous knowledge/experience with the subject matter *
Little to none
A good amount
Comments (anything you would like to mention beforehand).
Payment and Class Info.
Payment may be made electronically.  For USA residents: please via Venmo to  For international residents: please use Paypal with the same email address,
Payments and registrations must be made no later than 24 hours before the start time to reserve your spot.  When this registration form and your payment are made, the Zoom link will be sent to you.  Recordings will be available for most offerings.  If you choose not to attend live, please let me know.  The recording will be sent to you within 24 hrs. of the finish time.

Plan to arrive to your workshop 5-10 minutes early so that you have time to log in and set up your yoga mat, props, notebook, etc.
Release/Waiver of Liability- Student Agreement
I understand that this yoga offering includes some physical movements as well as an opportunity for relaxation, stress reduction, and release of tension, and knowledge acquisition.  As is the case with any physical activity, the risk of injury is present and can not be entirely eliminated.  If I experience any pain or discomfort, I will listen to my body and adjust/cease the posture.
Yoga is not a substitute for medical attention, examination, diagnosis, or treatment.  I affirm that I alone am responsible in deciding whether to practice yoga.  I hereby agree to irrevocably release and waive any claims that I have now or hereafter may have against Deepali Patel.
By entering my initials below, I agree to the statements in the aforementioned release and waiver of liability. *
I look forward to sharing the yogic teachings and wisdom that have been bestowed upon me, with you in this workshop.  Kindly, Deepali
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy