Full name *

Street, Zip code, City *

Mobile *

E-Mail *

Birthdate *

My first yoga session will be on ... *

Do you already have yoga experience? *

How long? *

Do you regularly take medication? *

Are you suffering form high blood pressure? *

Have you had any injuries in the neck/shoulder part? Where? *

Do you have any other ailments? Which? *

Does a pregnancy currently exist? *

Expected birth date

I am aware of the Corona Protection Concept and adhere to the guidelines. *

The General Terms and Conditions are binding and can be viewed at any time under «Terms & Conditions». *

Pura Vida accepts no liability whatsoever. Insurance is the responsibility of the participant. *

I will share any health related complaints and injuries before class. *

Remarks

1 + 5 = ?Please prove that you are human by solving the equation *