Nature Space Yoga: 2019 Registration

Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Area Code Phone Number

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Emergency Contact Name *

First Name Last Name

Emergency Contact Phone Number *

Area Code Phone Number

Have you ever done yoga or meditation before? *

Yes, Yoga Yes, Meditation Yes, Both yoga and meditation No, Neither yoga or meditation

Have you taken a Nature Space Yoga Class before? *

Yes (If yes,you can skip the remaining 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 options for Fall 2019: *

Morell Fall Yoga: 6 week United Church program = $50 2020 10 class pass= $90 (Good for the entire 2020 season) Morell Yoga : Single Class= $12

Upon submitting this form, you will be contacted by Nature Space Yoga to arrange payment through e-transfer or credit card. E-transfers can be made to naturespaceyoga@gmail.com with the security answer naturespace (all one word).

Waiver: By clicking submit, the participant agrees that while participating in Nature Space Yoga classes or workshops, they acknowledge that they assume all risks associated with participating in a yoga or meditation class, and release and hold harmless Nature Space Yoga and its instructors from any legal or equitable claims, demands, debts, law suits, or causes of action in the past, present, or future for any or all injury, disability, death, and loss or damage to person or property.