Student Registration Form

Kindly fill in the form below, and "sign" the Teacher Indemnity Statement  before you attend the first class session with me.

Name *
Name
Gender *
Date of Birth: *
Date of Birth:
Singapore Numbers only
This helps the teacher understand your responses to instructions and how you may have a different understanding of an asana.
Confidential: for the teacher only. Ladies, pl. indicate if you are expecting.
Teacher Indemnity *