Bristol Yoga Centre Workshop Registration

Private Lesson Registration Form

with Naomi Hayama

Name *
Please summarise what you would like to achieve through yoga
Please describe any previous experience with yoga (don’t worry if you don’t have any)
Please outline any physical limitations/injuries/health condition that the yoga teacher should know about.
Please provide details of any other relevant medical treatment/ operations/ medication
Please send payment by direct transfer using the following details (Please make your name clear on the transfer details and email me once you’ve completed the transaction): Name: Naomi Hayama Sort Code: 08-92-86 Account: 14295885
If you can’t make a class, to avoid being charged, please let me know at least 24hrs in advance to re-schedule your appointment.
Privacy & Confidentiality
Any personal information you have shared with us will be kept confidential and only passed on to your Yoga teacher. We will not share any of the information you have provided here with any third party.
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