Yoga Knitdra - New Student Form
Please complete your details in addition to making payment prior to your first yoga class or workshop
First Name *
Your answer
Last Name *
Your answer
Mobile Phone Number *
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Email address *
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Street Address *
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Suburb *
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Postcode *
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Emergency Contact Name *
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Emergency Contact Mobile Phone Number *
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What benefits do you wish to gain through practising yoga?
Your answer
Waiver - I advise that I do not have any injuries, ailments or conditions which would prevent me from undertaking yoga practice and that I take this class/workshop at my own risk. I will inform the teacher at the beginning of each class/workshop in the even this changes. I also agree to take full responsibility for any injury, loss or damage of any kind that I incur as a result of attending yoga classes taught by Alison Parker. This includes being responsible for my own safety with the use of props and movement around the room amongst numerous props. I agree that Alison Parker will not be liable in any way for any injury, loss or damage I may incur during the class/workshop including as a result of any information, written or verbal, provided during the class/workshop. I also understand that at times it is part of yoga practice to have physical interaction between teacher and student in the form of adjustments of alignment and balance. This ensures my safety as well as a deeper development of yoga practice. I will be responsible for myself and accept that the teacher’s guidance and instruction is from an educated and informed background. At times that I may not wish to receive physical adjustments I will inform the teacher at the beginning of, or during the workshop. *
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Any other information for the yoga teacher to be aware of in relation to teaching you?
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