MaterniTea Registration
This is a five (5) week Saturday program for pregnant women from Feb 3rd - March 3rd 2018

Saturdays
2:00pm - 4:30pm
Spice Harmony Yoga Studio
Calivigny, St. George
(above Dr. Lowe's Office)

SLIDING-SCALE PRICING
To make MaterniTea available to as many people as possible, we are introducing sliding pricing. Sliding scale pricing requires trust, openness and honest reflection.

THE FULL PRICE IS $250EC ($50EC per day) FOR ALL 5 SATURDAYS

WE SUGGEST A CONTRIBUTION OF NO LESS THAN $125EC ($25EC per day) FOR THIS PROGRAM IF YOU ARE IN NEED OF FINANCIAL FLEXIBILITY.

Questions? Call or Whatapp Malaika 473-410-5271 or hello@malaikabsl.com


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Name *
Email *
Phone number *
Is this your first baby? *
When is your baby due? *
MM
/
DD
/
YYYY
What would you like to get out of this series? *
How has the pregnancy been progressing? *
Will you have a birthing partner attending a class(es) with you? *
If yes, what is their name?
What is your relationship with them?
 Partner/Husband/Child's Father/Friend/Family Member
Describe your pregnancy so far in three (3) words. *
Any food allergies?
Where are you planning to have your delivery? *
How often do you practice yoga? *
Please describe any health-related conditions that you have (or have had in the past) that conceivably could affect your yoga practice
eg. bone, muscle, ligament, tendon problems or injury; heart, lung, high blood pressure, back or neck pain, back or neck injury, epileptic, diabetic or thyroid conditions.
How did you find out about MaterniTea?
Our Agreement
If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day.
I understand that MaterniTea is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a physician prior to beginning any activity program, including yoga. I recognize that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the extent of strain or pain. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. *
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