Nature Space Yoga: 2020 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:

For Snowga: Have you ever snowshoed before and are you comfortable on snowshoes?

For Snowga: Do you need snowshoes (subject to availability)?

Please select your registration options: *

Winter Special: 2020 10 class pass= $90 (if purchased before February 5, 2020) 2020 10 class pass= $100 (Good for the entire 2020 season) Yoga : Single Class Drop-in= $13 Snowga: Feb 15th Couples (2 people)= $40 Snowga: Feb 15th Per Person= $25 Snowga: Feb 29th Per Person= $25 Snowga: March 7th Per Person= $25 March Break Snowga (March 21st): Family= $50 March Break Snowga (March 21st): Per Person= $25

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.