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:
I agree the terms of waiver for
class policy
146B Neil Road
Singapore 088875
Tel: (65) 9052 3102, (65) 6220 4048
www.iyengaryogasingapore.com