Pregnancy Yoga Booking - The Yoga Village

Name *

First

Last

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Your Date of Birth

Babys Due Date

Email *

Email

Confirm Email

Phone

Which class would you prefer? *

On which date would you like to start? *

NB: once you submit this form you will be contacted with the next available place. Sometimes this is when the next baby arrives so dates are approximate.

How do you hope to benefit from this class?

Previous births? Please give ages of children.

Previous miscarriages?

During this pregnancy have you experienced any of the following?

Give details of above, or any other health issues.

Have you studied yoga before?

Yes
No

If so, for how long, how recently, what style etc?

Consent *

Please tick this box to confirm that you are booking for six consecutive weeks. If you wish to tailor your block notify us before your first class. Thank you.
I consent to us storing this information. It will never be shared with a third party and you can request for it to be deleted at any time.

pregnancy yoga booking form