Classes Booking Form

Fiona Wells Yoga Classes Booking Form

State which Yoga Class including the Start Date (* = required)

Your Name (*)

Your Phone Number (*)

Your Email (*)

First Line of Your Address (*)

Town (*)

County (*)

Postcode (*)

How do you wish to pay? (*)

Your Facebook Address (optional)

Your Date of Birth (optional)

Have you any Yoga experience? (optional)

YesNo

If YES, how much? (optional)

Yoga for Pregnancy Course

When is your baby due to arrive? (optional)

Name of Midwife (optional)

Name of Surgery (optional)

Please mention anything which you feel may be relevant to your yoga practice and pregnancy (optional)

I would like to receive email updates about future Yoga Classes
YesNo

All personal information will remain strictly confidential

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