Online Group private yoga registration form
Please fill in the form below to register for your Online Private Yoga.
*mandatory fields.
About me
First Name
*
This field is required
Last Name
*
This field is required
I am a PURE Cardholder
*
Yes
No
This field is required
Cardholder Number
*
This field is required
Mobile number
*
This field is required
Email
*
This field is required
ABOUT THE STUDENTS
How long have you had a consistent yoga practice?
*
Less than 6 months
6 months to 1 year
1 to 3 years
3 to 5 years
More than 5 years
This field is required
Please disclose any injuries and/or any medical or physical conditions that may prevent participating students from engaging in physical exercise
*
This field is required
Are any of the participating students pregnant?
*
Yes
No, N/A
This field is required
How many weeks into the pregnancy?
*
ACTION PLAN
What is the primary interest or collective goal of the participants taking this Online Group Private Yoga class?
*
This field is required
What is the preferred schedule for this Online Group Private Yoga class? You can choose more than one option.
*
Morning
Lunchtime
Afternoon
Evening
Mondays
Tuesdays
Wednesdays
Thursdays
Fridays
Saturdays
Sundays
This field is required
What are the preferred time slots? Please indicate your preference according to Hong Kong time (GMT +8). You can choose more than one option.
*
6am-9am
9am-12pm
12pm-2pm
2pm-6pm
6pm-9pm
This field is required
Which gender would you prefer for your Pure Yoga teacher?
*
Male
Female
No preference
This field is required
Please pick your preferred language of instruction. You can choose more than one option.
*
Mandarin
Cantonese
English
This field is required
Any other important information you would like to provide for your Online Private Yoga classes?
*
This field is required
If you already have a preferred teacher, please let us know their name. Otherwise, we will find a suitable teacher based on your provided information. Please note that not all Pure Yoga teachers are available for Online Group Private Yoga.
*
This field is required
Submit