the moon space
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about
classes & events
1-1
journal
shop
contact
the moon space
Sign-up for 1-1 classes
Please fill in your details below. You will receive an email to confirm your booking.
Name
*
First Name
Last Name
Email
*
Message
*
Phone number
Date of birth
MM
DD
YYYY
Select payment option:
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Details on how to pay will be emailed to you.
Paypal
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Receive invoice end of month
Do you have any current or recent health conditions?
*
Including injuries- please note below
YES
NO
If YES, please provide details:
What are the benefits you are looking to receive from yoga?
Eg. improved posture, improved flexibility, improved mental health, reduction in stress
Please tick to confirm:
*
-By taking part in this class you confirm you have a sufficient space to practice safely in without serious risk of injury. -To the best of your knowledge, you suffer from no medical or physical condition or disability that will or might increase the normal risks associated with exercise; [and / or] your doctor has approved your participation in these yoga classes.
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Thank you!