Yoga with Libby Rose: Registration Form
Thank you for joining in with Yoga at the beautiful space: Eastwood Community Centre.
Please fill out the form below as best as you can, you can always do another later if circumstances change.
It's wonderful for me to know you a little better so we can share this yoga (asana) practice.
Mobile / Telephone Number:
Date of Birth:
Emergency Contact & Phone Number:
Please Tick and explain more where applicable
High blood pressure
Low blood pressure
Do you have a medically diagnosed condition under the care of a GP or Specialist?
If so, has your doctor provided clearance for you to participate in this program?
Any additional information that you may wish to share for my attention: (I will always respect your privacy)
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