ENROLMENT FORM

Please give details of the class(s) you wish to attend

 1.  Day   Time Level

2.  Day Time Level

3.  Day   Time Level

 Are you already attending classes at the Knutsford Iyengar Yoga Centre?

 YOUR PERSONAL DETAILS

 Name

 Address

post code

 Tel No :Email:

 Medical Condition and History

Please state any present medical condition or medical history that your Yoga Teacher should be aware of, e.g. pregnancy, recent operations, back problems, high/low blood pressure,current medications, etc.

 (All information will be treated with strict confidence – it is only required to ensure you own safety)

Name Date