Online Meditation Class
Kindly complete and submit this registration form for the session running Tuesdays and Fridays, 7-7:45 am, May 21 - June 21, 2019
Email address *
Name *
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Address *
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Email address *
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Previous meditation experience: *
Regularity of meditation practice: *
What are your goals for this course? Select all that apply. *
Required
To help us better serve you during this course, please indicate if you currently experience any of these challenges: *
Required
Is there anything else you would like to share with us so we can better tailor this course to your needs?
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Waiver of Liability and Refund Policy: I understand that there are inherent risks with any pursuit, and that this online course does not allow an instructor to be able to see me fully, physically adjust or assist me. I understand that I will need to be responsible for my own comfort and care during the live sessions and when using the class recordings. When doing yoga, meditation or engaging in any similar pursuit, I may suffer minor or serious injury. I understand these risks and assume responsibility for my own health, releasing Dharma Kshetra Yoga, LLC, and all their staff and volunteers from any liability. I understand that I am responsible for my own internet connection and connected devices and their functionality, and how to use the programs required to access the course content. I further understand that I will receive information on how to join the class and receive the recordings when I pay my invoiced fee. I understand that all fees paid are nonrefundable. *
Thank you! You will receive an invoice for the course amount in the next few days. We look forward to having you join us!
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A copy of your responses will be emailed to the address you provided.
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