Samasta Wellness & Yoga
Where there is Love there is Life...Ghandhi
  • Sacred Sound Journey
  • Reiki and Healing Treatments
  • Yoga and Meditation
    • Yoga Class Descriptions
    • Schedule & Location
    • Class Prices
    • Yoga Info & Etiquette
    • Registration >
      • Health Questionnaire and Waiver
  • Retreats and Workshops
    • Haida Gwaii Retreats
    • Mexico Retreat
    • Inner Reflecion Retreat
    • Retreat Registration
  • Sound Bites
  • Testimonials
  • Essential Oils
  • Recipes
  • About Laurie
    • Contact

Health Questionnaire & Waiver

AFTER you have submitted your registration, please complete and submit a questionnaire and waiver.

Health Form

    To register for a yoga class please submit following form
    or call Laurie @ 250-996-3152


    If registering for multiple classes you need only to submit one form; please select all classes you wish to register for.

    Please select all classes/series you wish to register for.
Submit
samastawellness@gmail.com
250-996-3152
If you can imagine it, you can become it...
If you can dream it, you can become it...
William Arthur Ward