Take a Deep Breath In!
Program Enrollment Form
Where do you live? (town/city, province/state/country)
Cell phone number
Age Range (all welcome)
16 - 21
36 - 50
better than 65!
How did you hear about this program?
What are your goals for taking this 6-week Yoga and Meditation program?
What is your previous experience with Yoga and/or Meditation?
Do you have any physical injuries or other issues that will get in the way of practicing Yoga and/or Meditation?
The program begins the week of January 5, 2021. Which day(s) of the week would you like to attend the classes on? (Note - Live Webinars are on Sunday afternoons, January 17 and 31, and will be recorded)
Tuesdays, 4:00 - 5:15 ET, cost for the entire series $199 CAD
Saturdays, 8:30- 9:45 ET, cost for the entire series $199 CAD
Both Tuesdays and Saturdays, cost for the entire series $279 CAD
How would you like to pay? Note: e-transfer is available in Canada only, I will send instructions. Anyone may use PayPal - I will send you an invoice.
I agree to have my email address added to the "Peg McPhedran RHN RYT" Newsletter Mailing List. I understand that I may unsubscribe at any time.
I understand and acknowledge that Peg McPhedran RHN RYT is dedicated to protecting and advancing the general well-being of clients in a natural way. I assume full responsibility during and after my participation, for my choices to use or apply, at my own risk, any portion of the information or instruction I receive.
Yes, I agree
No, I disagree and understand that I will be unable to participate in this program
Camera On Policy: All students are required to have their camera ON for the duration of class. This is for a few reasons: for your safety, for the teacher to be able to teach clearly, and for the integrity of the class. This also ensures that our classes are a safe environment for all students.
Yes, I agree to have my camera on for the duration of class.
No, I don't agree and understand that I will be unable to participate in this program
Any other Comments or Questions?
Send me a copy of my responses.
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