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 admin@orangetreeyoga.com or 07725120043
FULL NAME *
Your answer
Are you interested in private, pregnancy, group or corporate lessons? Tick all that apply. *
Required
Email Address *
Your answer
Please Confirm Email Address *
Your answer
Mobile Number *
Your answer
Emergency Contact Number *
Your answer
Emergency Contact Number Name *
Your answer
Medical Conditions/Injuries/Medication? *
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.
Your answer
What Yoga Experience Do You Have?
Your answer
Would you Like to Be on Our Mailing List?
Any Questions?
Your answer
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