Hospital & Clinic Enquiry
Name of the Hospital or Clinic *
Type of Yoga Required: *
Gender Of Yoga Teacher *
Date of Booking *
MM
/
DD
/
YYYY
Time of Yoga Class *
Time
:
Type of Yoga Class *
Email *
Contact person in Hospital or Clinic with whom the instructor can coordinate *
Contact Person in Hospital or Clinic from whom the instructor can collect payment *
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