PRIVATE YOGA

Please read the Guidelines before you sign up.

If you have any health issues please mention in the application form.

If the class is for the children/below 18, the parents has to apply.

Date and days will be decided after a discussion.

Fees Structure for Private Yoga Session at your place in Ottawa
1-4 people 60-100 minutes session: $100
5-10 people 60-100 minutes session: $150

Seniors 1-4 people 60-100 minutes session: $70

Face-to-Face Online Live Yoga Session: 60-100 minutes: $100

Online Live Deep Relaxation Session: 15-20 minutes: $40

All your information is strictly confidential

This Form cannot be submitted until the missing fields (labelled below in red) have been filled in
REGISTRATION FORM
Please note that all fields followed by an asterisk must be filled in.
First Name*
Last Name*
E-Mail Address*
Street Address*
City*
State/Prov*
Zip/Postal Code*
Country*
Home Phone*
Business Phone
Cell Phone
Sex*
Age*
Do you have any previous acquaintance with Yoga?*
If yes, please give details:
General Condition of Health*
Are you presently under the care of a health care practitioner? *
If yes, please explain
Your preferable time for the class*
Requests/Comments
Signature (Enter Your First and Last Name)*
Please enter the word that you see below.

REGISTRATION FORM