Prenatal Workshop RegistrationPlease complete the details below to registerIf you have any questions please call us on 0407392666 Name * First Name Last Name Address * Email * Phone Number * (###) ### #### Occupation * Emergency Contact Name * First Name Last Name Emergency Contact Phone Number * (###) ### #### How did you hear about this workshop? * Internet Newsletter Classes Poster/Flyer Friend Other Where? If you selected "internet", "poster/flyer", or "other", we'd love to know where you found out about us! Do you have previous yoga experience? * If you do, please describe your experience. Do you have a regular meditation practice? * Have you experienced pregnancy? * Do you have any injuries or structural difficulties at present? * Have you had any medical procedures in the last 5 years? * Do you have any medically diagnosed conditions? * Have you experienced a diagnosed condition of depression/anxiety in the past 7 years? * How would you describe your present level of health? * How would you describe your present level of fitness? * Is there anything else we need to know to guide you safely through this workshop? Thank you! Please forward your Yoga Teacher Training Certificate and any other YTT to admin@shantarasa.com
