Student Registration Form for Yoga Classes
Please fill in all the fields before attending class - alternatively, a printed copy will be provided at your first session.
If you have any questions, don't hesitate to contact Rachel at
Are you interested in private, pregnancy, group or corporate lessons? Tick all that apply.
Group Class - Monday 12.00pm Wickham
Group Class - Monday 7pm Hedge End
Group Class - Tuesday 2pm Winchester
Group Class - Tuesday 7.15pm Eastleigh
Group Class - Thursday 7.30am Southampton
Group Class - Friday 10.30am Winchester
Group Class - Friday 12.30pm Winchester
Group Class - Saturday 9.30am Southampton
Corporate Yoga (Ongoing or one-off event)
Please Confirm Email Address
Emergency Contact Number
Emergency Contact Number Name
It is important before attending any physical movement activity to give Rachel any medical information before attending classes so that she can prepare the best program to suit. Please also indicate here if you are pregnant. If further clarification is required, Rachel will contact you.
What Yoga Experience Do You Have?
Would you Like to Be on Our Mailing List?
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