Registration

WORKSHOP REGISTRATION FORM

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Since bodywork which is done on the floor requires a certain amount of flexibility and good physical condition, please answer the following questions so that I can ascertain that your participation will be a good experience for you and a good match with other participants..

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NAME OF WORKSHOP
DATE OF WORKSHOP
PROFESSION
FIRST NAME
LAST NAME
CITY
STATE / PROV.
COUNTRY
EMAIL
AGE
SEX	Male Female
WEIGHT	LBS / or KG
What is your primary language?

Do you have any background in bodywork or yoga?

Do you have any conditions or physical limitations that might influence your participation in this training? (past injuries, operations, prescription drugs, asthma, high blood pressure, heart conditions, etc)



Comments


For events in Thailand (if you come from outside of Asia) please schedule your arrival at least 2 days ahead of time to account for the time difference and jet lag.

Calendar of Events and Workshops