YOGASAM

1. Enter your details 2. Payment 3. Confirmation To book please complete the registration form below. If you have any questions email us.
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What whould you like to achieve from this program?	Try something new Increased flexibility Increased cardio stamina Improved figure/physique Mind/body/spirit connection Concentration/meditation techniques Manage nervous/emotional tension Satisfy your curiosity Relax and enjoy Other (please write below)


What are your 3 (top secret) goals you would like to work towards... or perhaps vices you'd like to leave behind?

Any previous yoga experience? Done the hard yards on the mat or just a newbie?

Any injuries, surgery or conditions we need to know about (including tendency to breathlessness or asthma, back problems, blood pressure, depression and pregnancy)?

Yoga Gear	Please supply a mat ($75) I've got one

Where did you hear about the YogaSam Program/Classes?

I agree to the terms and conditions below (please read then check this box).

Terms and Conditions Any form of exercise can be potentially hazardous. By agreeing to this acknowledgement I recognise the dangers of exercising when injured or impaired, or when carried out without proper supervision. I accept responsibility for your own conduct and actions. I acknowledge: • I am over the age of 18 years or have the consent of a parent/guardian • That yoga is a form of exercise • I have truly and confidentially disclosed to my teacher: - Any condition which might affect my ability to participate in a class - Of the type of medication I am taking, if any • If there is a change in my ability to exercise without pain or the possibility of causing injury I will notify my teacher immediately I undertake to notify my teacher if any of the following things occur: • I am under the influence of alcohol or any drug (Please note: Students under the influence of alcohol or drugs will NOT be permitted into class under any circumstances) • I am injured or feeling unwell • I am menstruating • I have changed my medication since previously notifying my teacher • I experience any pain on exertion or during an exercise • I am receiving treatment from another professional (medical or paramedic included) I agree to follow instructions from my teacher at all times. I agree to carry out an exercise routine only as set out by and as supervised by my teacher. Cancellation Policy Once my class is confirmed I agree and understand there are no refunds or credits given under any circumstances. My place in the class is not transferable under any circumstances.