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copyright 2009 Yoga & Tea Studio
211 Donald B. MunroCarp (Ottawa)K0A 1L0613-304-6320info@yogaandtea.com
Use this form to register online and to make your payment using PayPal if:

Returning students can purchase class passes 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, 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 4 - 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

Please indicate which classes you plan on attending, by clicking on the white boxes in the schedule below:
event title

Divine Sex Workshop
with Ram Das Kaur

Intro to Thai Massage for Couples Workshop
with Devin Johnstone and Susan McEwen

Partner Yoga Workshop
with Devin Johnstone and Susan McEwen



time

1:00-4:00pm, Saturday February 6


1:00-3:00pm, Saturday February 27



3:30-5:30pm, Saturday February 27
Part 3- Special Event Registration

In the list below, please indicate which event you are registering for:
Monday

9:30-10:45am
Nia
Sandra

















5:45-7:15pm
Kundalini
(beginner)
Louise R

7:30-9pm
Hatha
(all levels)
Louise
Tuesday

9:30-11am
Gentle Hatha
Kimberly







1:00-2:30pm
Yin Yoga
Stacey







5:45-7:15pm
Men's Yoga
Louise R


7:30-9pm
Hatha
(beginner)
Kimberley
Wednesday

9:30-11am
Hatha
(beginner)
Louise






1:00-2:30pm
Hatha
(all levels)
Louise






5:45-7:15pm
Kundalini
(all levels)
Mary

7:30-9pm
Power
Ellen
Thursday

9:30-11am
Gentle Kundalini
Nina


11:30am - 12:45
Baby & Me
Nina


1:00-2:30pm
Yoga for Weight Loss
Nina






5:45-7:15pm
Prenatal Yoga
Nina


7:30-9pm
Kundalini
(all levels)
Nina
Friday

9:30-11am
Hatha
(all levels)
Louise











4:00-5:30pm
Hatha
(beginner)
Stacey






7:30-8:45pm
Nia Night Out!
Sandra
Saturday

9:00-10:30am
Yin Yoga
Glenda


11am-12:30pm
Hatha
(beginner)
Glenda
Sunday

9:00-10:30am
Yoga for Round Bodies
Courtney











4:00-5:30pm
Yoga for Stress & Vitality
Nina/Mary
YesNo
Hatha
Ashtanga (Power)
Bikram (Hot)
Kripalu
Kundalini
Other
Don't Know!
I agree to the terms
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