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Hatha Yoga Classes Registration Form
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Email *
Full Name
Physical Address
Contact Numbers
Date of Birth
Name & Numbers of Nearest Relative/s
Doctor Name & Number
Medical Illness/es
Any Physical, Mental or Psychological Problems?
Current Medication
Have you done Yoga before?
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If yes, how long?
What is/are the reason/s for wanting to take part in these classes?
Yoga Disclaimer
We assume that all individuals are healthy before attending Yoga. Otherwise we suggest getting your doctors prior approval. All information shared in Yoga sessions are for educational purposes. In no way is any advice intended to suggest that it is a substitute for proper medical care or good common sense. The person uses these techniques while agreeing to take complete responsibility for themselves. Further a Yoga teacher is not a licenses health professional and offers these Yoga classes and advice purely from his/her knowledge and understanding of Yoga. He/She does not claim to diagnose or treat any illnesses.

I, ___________________________________________ am aware that neither Yoga Awakening Africa, nor any teacher teaching at the Yoga Awakening Africa Studio or on a Yoga Retreat accept any responsibility for loss, damage or injury to myself which may be sustained during classes or while on the premises. I have read and accepted the guidelines given to me.

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