Registration Form

Please fill in the boxes and press submit. More information on classes is here.

Name

First Name

Last Name

Email Address

Phone Number

Do you have any previous experience of yoga?

If yes, please give brief details.

Do you have any current health problems or injuries?

If yes, please give brief details. This is strictly confidential.

Payment

Please select one of the following and pay in advance (£10 per class, or £40 for 5).

BACS transfer to a/c: 12704262; sort code: 11-04-21

PayPal to: http://paypal.me/danielcsimpson

Cash at the venue / paid already.

Waiver

By ticking below, I agree to the following liability waiver.

I understand that yoga involves physical exertion that may be strenuous. I take full responsibility for my participation and any risk of injury.

Upper Rissington Yoga