Please read the Teacher Indemnity Statement so that you can confirm your acceptance at the end of this form.

Name *
Are you currently attending Anjani's classes? *
Please list the teachers you have studied with.
This information will be kept confidential and is only so that Anjani may understand your issue, and ensure no injury during class.
Singapore Address pl.:
Teacher Indemnity confirmation:(please read and confirm Teacher Indemnity) *
Please read the Teacher Indemnity statement at the link shown below.