Clone of Student Registration Form

Yoga Meditation online or In-person Registration Form

瑜伽与冥想身心共修報名表
Name*

First NameLast Name
Gender*

FemaleMale
Phone Number*

Area CodePhone Number
Date of birth*

MonthDayYear
Date
Email*
example@example.com
Emergency contact person & phone number *
Name💁🏻🙋🏽 & phone ☎️
Occupation *
Do you have any medical condition/ physical injuries/ pains? If Yes, please specify
EXAMPLE : knee or joint pain, neck & shoulder pain, lower back pain, depression, heart disease, high or low blood pressure, scoliosis, sciatica, insomnia, hernia, arthritis, asthma, glaucoma, gastroesophageal reflux disease .....etc
How do you know about us

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Terms & conditions :

All payments are final, non-refundable, non-cancellable and non-transferable.
I, the applicant, hereby agree to the above terms & conditions*

I Agree
WE ACCEPT

1. Bank Transfer / FPX

Public Bank

323 487 3202

Turiya Yoga Meditation Studio

2. Touch n Go

⭐️4 classes RM160

☀️10 classes RM380

Namaste
May I know you will be joining the in person or online meditation ? You can choose both*

In Person MeditationOnline Meditation
Please upload the receipt of the payment, thanks *

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Yoga Meditation online or In-person Registration Form