Online Group private yoga registration form
Please fill in the form below to register for your Online Private Yoga.
*mandatory fields.
关于我
名字
*
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姓名
*
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我是PURE持卡人
*
是
否
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会员号码
*
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手机号码
*
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电邮
*
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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
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Please disclose any injuries and/or any medical or physical conditions that may prevent participating students from engaging in physical exercise
*
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Are any of the participating students pregnant?
*
Yes
No, N/A
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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?
*
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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
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What are the preferred time slots? Please indicate your preference according to Singapore time (GMT +8). You can choose more than one option.
*
6am-9am
9am-12pm
12pm-2pm
2pm-6pm
6pm-9pm
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Which gender would you prefer for your Pure Yoga teacher?
*
Male
Female
No preference
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Please pick your preferred language of instruction. You can choose more than one option.
*
Mandarin
Cantonese
English
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Any other important information you would like to provide for your Online Group Private Yoga classes?
*
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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.
*
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