PPI Parents Yoga Club Booking Portal

PPI Parents Yoga Club Booking Form
Contact Information
Full Name

First NameLast Name
Email
example@example.com
Contact Phone Number
Format: 000-0000-0000.

Is this your first time to register for our NEW 2026 PPI Parents Yoga Club

Additional Personal Information required for Insurance Purposes
Parent's Full Name in KANJI if available

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Gender (Required for Insurance)　性別 (保険加入のため必要です）
Home Address / 自宅住所

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

2026 Yoga Waiver
If at any time during the class, you feel discomfort or strain, gently come out of the posture. You may rest at any time during the class.

It is important in yoga that you listen to your body, and respect its limit on any given day.
I understand and agree to the following conditions.
Name

First NameLast Name
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature

Class Fees
Class Fees

Admin - Current Campaign - FREE

Insurance - ¥2200 / school year.

Lesson cost - ¥2200 incl Tax / Class.

Invoicing - Bank transfer (Nagoya Bank). No Cash Accepted

Cancellation - No Refunds for absence or cancellation.

Rescheduling is available before 16 hours of class schedule.

Parents Yoga Club

Last Step
✔ Please Confirm
✅ I am physically able to participate in yoga.
✅ I understand I participate at my own risk.
✅ I will inform the instructor of any injuries or health concerns before class.
✅ I understand photos or short videos may be taken for PPI communications and promotion.
✅ If I prefer not to be photographed on a particular day, I will inform the instructor before class.

👕 What to Wear
• Comfortable clothing you can stretch and move in
• Light layers (you may warm up and cool down during relaxation)

🎒 What to Bring
• A yoga mat
• A water bottle
• A small towel (optional)

🕘 Doors open at 9:00
🧘 Class begins at 9:15

🌈 Location: PPI Annexe – 2F
📍 https://maps.app.goo.gl/9ZtyeHZ28S2gpd6b7

We look forward to welcoming you to a calm and refreshing start to your day.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Signature
Should be Empty: