Just Yoga Morning Intensive Registration Form

To register for one of Just Yoga's Morning Intensive please complete the following registration form and submit your registration.

Please take the time to complete the following form. Your assistance will help in the smoother administration of the studio.

Required information fields are marked with an *.

First Name *

Surname *

DOB

Gender *

Contact:

Suburb

Telephone

Mobile *

Email *

What Beginners' Course would you like to register for?

Morning Intensive Dates *

Yoga postures are physically demanding and can have a strong effect on the participant. It is important that your teacher is aware of your physical condition. The following questions are designed to assist in informing them of your physical and medical condition. All information will be treated strictly confidential.

Are you pregnant? *

Please indicate is you are suffering from any of the following medical conditions:

Medical conditions? *

High blood pressure Glaucoma Hernia Back or other joint pain No Medical Conditions

Do you have any other medical conditions or injuries? Please provide details?

Other medical conditions or injuries.

Have you recently had surgery or other medical treatments? Are you taking any medications? Please provide details?

Surgery or other medical treatments.

If you have any queries about this questionnaire contact David McLaughlan on 0418 923 791.

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