Workshop Registration Form

Workshop you are registering for

I agree to provide specific health details

Do you have any heart, spinal, endocrine, urinary or respiratory conditions?

Do you have any indication on bones such as Osteoporosis, Arthritis or any injury or surgery in the last 3 years?

Have you had or currently have hernia?

Are you currently pregnant?

Do you have Glaucoma?

Explain your requirements / condition in detail

How did you get to know of this program?

I understand and accept that all sessions of the workshop are mandatory to attend and if missed, l will not be able to continue the process due to the structure of the program.

I confirm that all information provided by me, including as related to my medical condition, is complete and accurate. I agree not to hold organizers responsible for any injuries, losses or damages that may occur to me during the program or through the subsequent practice. I understand that if in doubt, I should consult my doctor before proceeding to do any of the practices taught.

Important Notice: Due to the nature of the practice, there are some precautions. People who fall under any of the below categories are not eligible to participate at this time - Women who are currently pregnant - Anyone who has had a major open surgery in the last 6 months - Anyone who has had a laparoscopic surgery in the last 6 weeks. As a general note, always consult and follow your doctors advice. Check the box to acknowledge

Cancellation Policy

• 30% of the fee will be deducted for cancellations if made more than 1 week prior to the program.

• No program refunds beyond 1 week prior to the program.

• Refund processing time is 3-4 weeks

Thanks for submitting!

Bali - Jakarta

Workshop Registration Form

© 2023 YOGA SYSTEMS - HATHA YOGA SCHOOL

Workshop Registration Form

​© 2023 YOGA SYSTEMS - HATHA YOGA SCHOOL

© 2023 YOGA SYSTEMS - HATHA YOGA SCHOOL