Class Registration & Enquiry Form
Class Registration Form

First Name :

......Last Name :
Identification Card/FIN/Passport number :
Gender (Male/Female) : Date Of Birth :
Home Address :
E-mail:  Tel. : Mobile :
Nationality :  State/Province : Country :
Office Address :
Would you like to be on our mailing list? Yes/No Yes No
Would you like to receive our newsletter? Yes/No Yes No
Have you ever attended any yoga classes? Yes/No Yes No Where?
Please give brief yoga experience :
What sports activities are you currently engaged in?
Explain any physical injuries:
In case of emergency, who should we contact?
Name: Tel.: Mobile:
How did you first hear of our Iyengar Yoga Centre?
What class do you prefer the class to be in?
I would like to book a class:
Date: Time:
 
Enquiry Form
I would like to be contacted by phone:
Telephone Numbers:
Notes:
 
Please enter the digits you see below: number

I agree the terms of waiver for class policy

146B Neil Road Singapore 088875
Tel: (65) 9052 3102, (65) 6220 4048 www.iyengaryogasingapore.com