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BodilyMind

Live Yoga

Reservation Form

Please write down the live yoga date that you wish to attend: *

※Please write down the date in yyyy-mm-dd format. (e.g. 2022-09-27)

Full Name *

Email *

※Enter the email address that you want to receive the payment link and zoom live yoga link.

Let me know if you have any specific conditions that we need to know: *

None
Hypertension
Migraine or any Chronic Headaches
Backache
Sciatic Nerve Pain
Slipped Disc or Spinal Disc Herniation
Shoulder Pain or Frozen Shoulder
Joint Pain
Insomnia
Constipation

Additional Comments

Yoga Experience *

First time or done a few times
Beginner
Inetermediate
Advance

List any yoga props you may have at home besides yoga mat: *

Yoga block
Chair or stool
Yoga strap
None

Zoom Login ID *

We will use this ID to identify you and let you in to the live yoga session.

Phone

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