Pregnancy Yoga Workshop: A Time to Align
Workshop Teacher: Dani Fox
Phone: 0416978543
Email: dani@yogafromtheheart.com.au
We hope this form will make signing up for this workshop easy for you. Please fill out this form and click 'submit' at the end to sign up. You will not receive an immediate confirmation after registering but Dani will respond by email to confirm your enrollment when online enrollments are next checked. Please note that payment is not automated on this site and if paying by EFT, you will need to do this using your own internet banking, being sure to include your name as a reference.
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Occupation
Your answer
Age
Your answer
Estimated Due Date
Your answer
Please indicate which workshop you would like to attend:
Cost for Workshop is $85 (this includes printed materials and a home practice DVD)
Payment is due a week in advance to confirm your place. If this is challenging for you, we are happy to discuss your needs and will do our best to make it possible for you to attend. Please select your preferred method of payment. EFT to Bendigo Bank Danielle Fox, BSB 633000, Account number 132623133 Please reference with your name.
Previous pregnancies/births (please provide as much detail as you wish):
Your answer
Other children and their age:
Your answer
Who your support people are through this current pregnancy journey (e.g. partner, doula):
Your answer
Where you plan to give birth and under whose care:
Your answer
General health:
Your answer
Past injuries:
Your answer
Problems in this pregnancy:
Your answer
Previous yoga experience:
Your answer
Other information you’d like to share that is relevant to this time in your life:
Your answer
What you’re hoping to gain from the workshop:
Your answer
How did you find out about the workshop?:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service