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Registration for classes at YogaJak
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Name
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First
Last
Email
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Address
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City
State
Zip Code
Country
Phone Number
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Age
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Under 25
26 - 30
31 - 35
36 - 40
41 - 45
46 - 50
51 - 55
Over 55
How did you hear about YogaJak?
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Health and Previous Yoga Experience
Have you practised yoga before?
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Yes
No
Have you ever had or do you have any of the following? If yes, please give details:
High blood pressure
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Yes
No
Details
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Low blood pressure
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Yes
No
Details
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Arthritis
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Yes
No
Details
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Diabetes
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Yes
No
Details
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Epilepsy
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Yes
No
Details
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Heart/Stroke condition
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Yes
No
Details
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Asthma/Breathing Difficulties
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Yes
No
Details
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Depression
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Yes
No
Details
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Detached retina/other eye problems
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Yes
No
Details
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Recent operations/injuries
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Yes
No
Details
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Back problems
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Yes
No
Details
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Knee/ankle problems
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Yes
No
Details
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Neck/shoulder pain
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Yes
No
Details
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Recent fractures/sprains
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Yes
No
Details
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During the class listen to your body and come out of poses if necessary. Listen to instructions carefully, remember that yoga is non-competitive and always let common sense prevail
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I have read the above cautions and answered all the questions to my satisfaction. I hereby waive the right to all and any claim against the teacher for any injury or adverse change in my state of health arising directly or indirectly from my participation in classes. I will inform my yoga teacher of any medical changes. I understand that when I purchase a term pass from YogaJak, this reserves my place in the selected term. In respect of the commitment that we are both making, I understand all term purchases are non-transferrable and non-refundable in whole or in part. I understand If I miss a class I may attend an alternative class during the same term (make up class) and I can have a maximum of 2 make up classes per term (bookings required).
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YogaJak
Yoga For Men
Sunshine Coast, Qld
Home
About
CLASSES
Yoga for Men
Single Class Pass
REVIEWS
Registration
CONTACT
Gift Vouchers