EmailMe Form - PREGNANCY YOGA Class Registration Form

Name *

First Last

Email *

Phone *

I am happy to receive emails from Tamarin *

Yes

No

Expected Due Date *

MM / DD / YYYY

Have you suffered from any of the following during your pregnancy? *

Please tell us about any other pregnancy ailments you have suffered

Please tell us about any injuries which may affect your yoga practice

What are you hoping to get out of your pregnancy yoga classes? *

Anything else we should know?

I, the above named participant, understand that all practices are optional; I hereby waive any and all claims I have now or in the future against Soul Space and my teacher.

I take full responsibility for my body and my baby. If I feel dizziness or pain I shall stop the activity immediately and let my teacher know.

If I have any doubts I will seek the advise of a medical professional before proceeding with the pregnancy yoga class. *

I agree

I do not agree

Where did you hear about this class?