New Student Information Sheet
Full Name *
Your answer
Address
Your answer
City
Your answer
State *
Zip
Your answer
Date *
MM
/
DD
/
YYYY
Telephone number *
Your answer
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.
Yoga experience *
Required
Do you have any medical restrictions or conditions? *
If yes, please explain:
Your answer
Are you on medication? *
If yes, please explain:
Your answer
Check all the locations you plan on practicing. *
Required
Anything specific you are looking to gain from yoga?
Your answer
Yes! I would like to receive e-mail communications about upcoming events & retreats? *
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