Nature Space Winter Yoga

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Address *

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Phone Number *

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E-mail *

Emergency Contact Name *

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Have you ever one yoga or meditation before? *

Yes, Yoga Yes, Meditation Yes, Both yoga & Meditation No, Neither Yoga or Meditation

Have you taken a Nature Space Yoga Class before? *

Yes (If yes, you can skip the next two questions) No

Tell me a little about your yoga and/or meditation experience (if applicable)

Do you have any physical conditions that I should be aware of to ensure you have a safe and effective yoga practice? If yes, please describe:

Please select your registration (limited to 15 participants): *

Periodically, photos will be taken to be used for our website or other promotional materials. As a small business, these kinds of photos are helpful to grow and support our business. Do you consent to your photo being taken and used in this manner? *

Yes No

Please tick ALL boxes to indicate you understand. I understand that I cannot participate in sessions offered by Nature Space Eco Resort if I: *

Have symptoms of COVID-19 including cough, fever/feverish, difficulty breathing, fatigue, sore through, runny nose Have been in contact with someone with symptoms of COVID-19 or an active COVID-19 infection Am self-isolating or in contact with someone who is self-isolating Have traveled outside of PEI in the past 14 days or have had close contact with someone who has travelled

Should I become infected with COVID-19, I will inform Nature Space Eco Resort by e-mailing naturespaceyoga@gmail.com, so that contact tracing can be performed by public health professionals to protect all participants *

I agree

Please type your full name to acknowledge you understand the above requirements. *

Please verify that you are human *

Select your session for payment

Tuesday Evening 8-week session $ 70.00 CAD

10-pack class pass $ 100.00 CAD

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Subtotal $ 0.00 CAD Tax $ 0.00 CAD Total $ 0.00 CAD

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