Free Yoga Studio Registration Form

Please complete this form to register for classes and help us tailor your yoga experience to your needs.
Personal Information
Name
Date of Birth
Phone number
Emergency Contact
Name
Relationship
Phone number
Health Information
Do you have any pre-existing health conditions or injuries?
Yoga Experience
Have you practiced yoga before?
If yes, for how long?
Preferred Class Level
Beginner
Intermediate
Advanced
Class Preferences
What days are you available for classes?
Payment Method
Credit Card
Debit Card
Cash
Online Payment (e.g., PayPal, Venmo)
Agreement
I acknowledge the risks associated with yoga practice and agree to participate voluntarily.
Name:
Date:
Thank you for your submission!
We appreciate you taking the time to submit.
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