New Student Information Sheet
Email *
Full Name *
Address
City
State *
Zip
Date *
MM
/
DD
/
YYYY
Telephone number *
I give The Inner Sanctuary permission to text me regarding cancellation, location changes, or any other important information. I know I can opt out at any time.
Clear selection
Yoga experience *
Required
Do you have any medical restrictions or conditions? *
If yes, please explain:
Are you on medication? *
If yes, please explain:
Check all the locations you plan on practicing. *
Required
Anything specific you are looking to gain from yoga?
Yes! I would like to receive e-mail communications about upcoming events & retreats? *
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