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Yoga Registration - 6/7/2024
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Name
*
Your answer
Date of birth
*
MM
/
DD
/
YYYY
Cultural Background
*
Your answer
Phone number
*
Your answer
Suburb
*
What area do you live in? Example - Woodridge, Slacks Creeek
Your answer
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
Do you need transport?
*
We can help you get there and home from some central meeting points like bus stations and train stations.
Yes
No
Unsure
Required
Medical
Do you have any medical conditions or illnesses that we should be aware of? If yes, please provide details
Your answer
Dietary Requirements
Your answer
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