New Student Form
Healthy with Joanna
Full Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
E-mail
example@example.com
What interests you in yoga?
Strength
Flexibility and balance
Stress management
Recovery from injury/pain
Other (please specify)
Other
*
Do you have any injuries I should know about?
Your experience with yoga:
What kind of classes interest you?
Private
Group
Private special: yoga trapeze, breath coaching
Back
Next
Terms and Conditions
All Sales Final. Classes purchased are non-refundable and non-transferable for any reason.
Start/End Time. Classes are scheduled for 60 minutes. If you arrive late or stop/start mid-class, class will still end at scheduled time.
48 Hour Cancellation / Change Policy. Classes can be rescheduled without penalty provided a minimum of 48 hours advanced notice is given. If less than 48 hours, then class will not be refundable or transferred.
Liability Waiver. Students take full responsibility for their own health and any illness or injury that may occur. Students cannot and will not hold teachers responsible in the case of accidents or illness during practice.
I have read and understand the terms and conditions of yoga classes as outlined above.
Signature
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: