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copyright 2008 Yoga & Tea
211 Donald B. MunroCarp (Ottawa)K0A 1L0613-304-6320info@yogaandtea.com
Register and make your online payment using the form below if:

Returning students can purchase class packages from our online boutique .

If you prefer to pay in person with cash, Interac, VISA or Mastercard, please visit us during our studio hours.
Registration Form

Part 1 - Student Information
When registering for Baby & Me or Family Power Yoga, please enter the information for each family member on the same form.













































Describe in the box below, any health conditions that may affect your ability to safely participate.








How did you find out about Yoga & Tea Studio?


Have you ever done yoga before?

If yes, indicate which types:






Part 3 - Terms of Agreement

You are encouraged to enthusiastically approach your yoga practice; however, use care when determining your own ability to do the exercises offered in these classes.  Do not aggravate an existing injury.  If you have a doubt as to whether yoga would be recommended if you have a particular injury or condition, please consult with your health care professional.  The instruction and advice presented in these classes is not meant to be used in lieu of professional medical or psychological care for treatment of any condition.  There are certain limitations to the practice of yoga for pregnant or menstruating women.  Please ask the teacher for further guidance.
By accepting these terms, you agree to take full responsibility for your own well being. 

You also agree to the following refund policy: There are no refunds, transfers or exchanges on class packages, workshops or special events for any reason. 
Student #1
First/Last Name:

Date of Birth:


Student #2
First/Last Name:

Date of Birth:


Student #3
First/Last Name:

Date of Birth:


Student #4
First/Last Name:

Date of Birth:


Address:



Phone Number:

Email Address:

Profession:

Emergency Contact First/Last Name:

Emergency Contact Phone Number:

Emergency Contact Relation:
Part 2 - Class Registration Information

Since you are buying a flexible class package, it is helpful for us to know which classes you plan on attending.  This allows us to serve you better!

In the schedule below, please indicate which classes you plan on attending:


Saturday






9:30-10:30am
Family Power
Hilda
Friday

5:00-7:00am
Rise & Shine
Free Sadhana*


9:30-11am
Hatha
Louise







1:15-2:45pm
Hatha
Susan
* Free Sadhana is every 1st Friday of the month
Monday


























7:30-9pm
Hatha
Louise
Tuesday






9:30-11am
Kundalini
Nina


11:30-12:30pm
Power
Nina


1:15-2:45pm
Baby & Me
Nina







7:30-9pm
Kundalini
Mary
Wednesday
















1:15-2:45pm
Hatha
Louise


5:45-7:15
Kundalini
Mary


7:30-9pm
Pre-Natal
Nina
Thursday






9:30-11am
Seniors
Nina


11:30-12:30pm
Power
Nina


1:15-2:30pm
Parent & Child
Nina







7:30-9pm
Kundalini
Nina
YesNo
Hatha
Ashtanga (Power)
Bikram (Hot)
Kripalu
Kundalini
Other
Don't Know!
I agree to the terms
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