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.
First Name *
Your answer
Surname *
Your answer
Email *
Your answer
Date of Birth
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Phone (home)
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Phone (mobile)
Your answer
Street Address
Your answer
Suburb
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Emergency Contact Name & Phone Number *
Your answer
How did you find out about the class? *
Please try to be specific
Required
Have you practiced yoga before?
If you have practiced before what style/where?
Please list any current conditions or areas of concern.
Please provide us with some more information about your condition or your due date if you are pregnant.
Your answer
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. *
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