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Booking Form For yoga class

To book our class please fill in the boxes below and click 'submit'.

Name Please enter your full name
Address where yoga is to be practiced
Please enter your contact number
Please enter a valid email
Gift certificate  
Requested Class Time/Date Date

Time e.g. 7-9pm

Please allow 48 hours in advance
Type of Yoga
Please select from drop down menu
Reasons for taking class
(Please include any relevant
medical history / injuries)

Instruction Language
Number of people taking class
Describe your experience with yoga
(please include style, time, regularity )?
Any other comments / requests (e.g.
music type, focus areas shoulders,
back, etc.)
Do you require a yoga mat? How many Optional