New Student Information Sheet

Weekly Class Schedule:

location | Armor Brewing Co.

time | Saturdays 10am

cost | Flexible Client Pay

(scroll to complete the waiver...)

Do you need to complete a waiver?*

No, I have already completed one with Divine Alignment YogaYes, it's my first time attending class

Who are you completing this waiver for?*

(If you have multiple children attending a Mommy and Me class, please list all the children attending below.)

Name*

First NameLast Name

Parent/Guardian Name

First NameLast Name

Children's Information*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Would you like to be included in our email communications?*

YesNo

Mobile Phone*

Please enter a valid phone number.

May we communicate with you via text message?*

YesNo

Date of Birth*

Date

Have you ever participated in yoga?*

YesNo

If Yes, when and how often?

Do you have any medical restrictions or conditions?

YesNo

If yes, please explain?

What are you looking for from yoga?

How did you hear about Divine Alignment Yoga?

Did a friend refer you? Help them earn a discount!

Type your friends name here.

Holy Yoga Activity Disclaimer*

Holy Yoga Child Activity Disclaimer*

Signature*

Payment is processed securely through Square.

My Products

Flexible Client PayPay what you can for the class. Check out here, bring cash to class or venmo @divinealignment_yoga

$ Free Quantity

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Total

$0.00

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