Mindful Yoga - Booking

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Sunday mornings 10 - 11:30am

At the Red Door Studio, 5 Blackwood Parade, Heidelberg West

With Julie Aares, julie@thereddoorstudio.com.au, 0491 057 924

First Name *

Last Name *

Email *

Phone number *

Your Yoga experience and motivation

Have you practised yoga before? *

No, this is my first time

Yes, once / a few times

Yes, many times

Yes, I practice regularly

Other:

If you have practised yoga, can you say a bit about it, i.e. do you still practise, how often, what style of yoga have you tried earlier or still practise now?

What do you hope to get out of this yoga course? What is your motivation for attending these classes? *

Your Health / Medical condition

Do you have any current or previous injuries and/or medical conditions?

Yes

I prefer not to share my medical condition

If you answered YES above, please specify

arthritis

osteoporosis

high blood pressure

low blood pressure

pregnant, or given birth in the last year

pelvic instability/ pelvic girdle pain

back injury

heart disorder

knee problems

hip problems

neck or shoulder problems

abdominal disorder or surgery

Other:

These conditions could affect your practice and so it would be useful for me to know of, if you are happy to share:

Anxiety / depression

Asthma

Auto-immune disorder (e.g. M.E., M.S., Lupus, etc.)

Balance affecting disorder

Migraine

Payment

Please select the option you want to book for, and pay now via bank transfer.

I am booking for... *

8-week course (19 Oct - 14 Dec) (no class on 2 Nov), $200 ($160 concession)

4 weeks (19 Oct - 16 Nov) (no class on 2 Nov), $120 ($92 concession)

4 weeks (23 Nov - 14 Dec, $120 ($92 concession)

A trial class, $35 - please write in the comments below what date you are booking for.

Any Questions and/or Comments are welcome here

How did you hear about this class at the Red Door Studio?

Complete your booking

You can pay via bank transfer to:

Julie Aares

BSB number: 313 140

Account number: 12168102

Reference: Your name

Note: Please note that your place in the course is not secured until payment has been received

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