Phones: Office:
Home:
Mobile:
(optional)
Email address:
How did you
hear about us:
Any known health problems or special considerations:
Things I expect from the classes, special requests or
other comments:
The course fee is P1,800. I wish to pay
a. cash or
check at the door |
b. check
or money order mailed | c. bank
deposit
Disclaimer
Alas, even yogis live in a litigious world, thus this course is not
intended to provide medical advice or make recommendations.
Furthermore, by submitting this form I acknowledge
1. that this course is provided as a community service staffed by
volunteers;
2. that I am responsible to notify the teacher in person of any medical
condition I suffer from as well as any treatment I am under and any
medication I have been prescribed by my physician;
3. that I am the best judge of my physical and mental abilities and that
I am responsible to exercise caution in performing the practices
learned through the course;
______________________
__________
Sign and print
date
