Toni Marie Yoga GLOWGA booking form
16th July 2019
Email address *
Full Name *
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Address *
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Contact Number *
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Email address *
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Date of Birth *
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Emergency Contact Name *
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Emergency Contact Relationship *
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Emergency Contact Telephone Number *
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Please provide details of any Medical Conditions *
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Please provide details of any Injuries *
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Please provide details of any regular medication *
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Please provide details of anything else that may affect your ability to participate in the Yoga class *
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Terms & Conditions
- By completing and submitting this form you give consent to photographs being taken during the Yoga class and used on Toni Marie Yoga social media platforms.
- Use of the glow in the dark body paint and neon jewellery provided by Toni Marie Yoga is entirely at the your risk. If you have allergies or skin sensitivities please use your own products to avoid a reaction.
Payment
The class fee of £10 is payable via bank transfer. Your place is only confirmed once payment has cleared.
Bank transfer details are:
Name: Mrs T Aspinall
Sort: 40-31-05
Account: 51501658
All your data is collected, stored and used in compliance with GDPR regulations.
A copy of your responses will be emailed to the address you provided.
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