Registration - Samasta Wellness & Yoga

Samasta Wellness & Yoga

Where there is Love there is Life...Ghandhi

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Health Questionnaire & Waiver

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

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.

* Indicates required field

Name *

First

Last

Email *

Mailing Address *

Which Class *

Yoga in your home Hatha (All Levels) Hatha II Yin fusion Restorative

Please select all classes/series you wish to register for.

Comment *

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