Clear Skies Yoga - New Student Registration Form
Please note that the data you enter is considered completely private and confidential. By completing this form you consent to being contacted by Clear Skies Yoga regarding yoga classes and events within Brisbane and it's surrounds. You may unsubscribe from these updates at any time. Your information will not be provided to any third parties.
Date of Birth
Emergency Contact Name & Phone Number
How did you find out about the class?
Please try to be specific
Friend (please add your friend's name below for the Refer a Friend program)
Facebook (if shared by a friend, please advise their name below for the Refer a Friend program)
Internet (please list website below)
Yoga Teacher (please add your teacher's name below)
Have you practiced yoga before?
If you have practiced before what style/where?
Yoga in Daily Life
Please list any current conditions or areas of concern.
Pregnancy (please list due date below)
Please provide us with some more information about your condition or your due date if you are pregnant.
What are you looking for in your yoga and meditation practice?
By checking the box below you agree that you understand that the advice given in your yoga class is in no way considered medical advice. You must inform your teacher verbally of any conditions prior to practice, and you agree to take responsibility for your own physical, emotional and mental wellbeing during class. You agree to practice with common sense, and to discuss any concerns with your teacher after class.
Check this box to confirm that you have read and agreed to the conditions outlined above.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service