Student Registration Form
Fill out the form carefully for registration
Whole Body Breathing A Vital Spine 5 week course online
Welcome and thank you in advance for completing this form.
How did you find out about this course?
In what country or time zone will you be ?
Have you practised Yoga before ? If so which of these?
with a friend or teacher
on my own
with the help of books or recordings
Please can you write a little about your yoga experiences , which teachers, styles...
What interests you about joining this 5 week course now ?
Do you have any health issues , back pain or injury or other?
Do you have any past or present sleep or eating issues, health or mental health issues ?
Is there anything else you wish Julie to know ?
By participating, you take on the responsibility to let us know if you don't want to be recorded during the sessions. I may also share some or all recordings publicly.
To register for this course please confirm below that you are over 18 years of age and fully responsible for your mental and physical health.
I agree and confirm
" I will not share course materials nor the sharing of other participants with anyone else. I commit to keeping all communications confidential"
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