Embodied Flow | Transition to Winter

Welcome to New Earth Yoga ๐ŸŒฟ

Please fill in this form prior to your first session to provide me with the information I need to serve you best.ย 


๐Ÿš Embodied Flow ๐Ÿš

New Earth Yoga Studio, 89 Oteki Park Drive, Welcome Bay (look for the green New Earth Yoga flag)

Every Friday in June, 9:30 - 10:45 (5th June - 26th June). Follow me on Instagram or Facebook to stay up to date with any last minute changes.

๐Ÿ‘‰๐ŸปPayment secures your booking (cash or bank transfer):
$22 (drop in)
$70 (4-class pass in June)
*All passes are valid for classes in June only.
KATIA MURDOCH
02-0168-0086928-004
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First Name *
Last name *
Email *
Contact number *
Date of birth *
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Emergency contact & number *
Relationship of emergency contact *
Do you currently have any recent/acute physical injuries? *
If yes, please provide more details or type N/A *
Describe your physical history - listing relevant ailments, conditions, surgeries, pregnancies, and any other significant medical treatments / or type N/A *

If you have indicated a health condition above, please take this form to your healthcare professional in order to gain clearance for this form of movement, or select today's date below if you already have clearance to proceed with the practice of yoga:

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Condition cleared by: [state doctor's name] or type N/A

Please share your reason for choosing yoga?

Select the dates you would like to book for:

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How did you hear about New Earth Yoga?

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I give permission for New Earth Yoga to take photos of classes in action to use for promotional purposes around the studio, on various social media platforms, or on their website. I give permission for photos of me to be used and waive any rights for payment for use of my image.ย 

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If you feel there is anything else important to share that will add to the support you receive during your classes, please share here. Alternatively, make a note that you would like to speak with Katia prior to the class at least 24hrs in advance.

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