Booking form for Gentle Yoga Course - Thursday 5th January to 9th February, 2012

Please complete and print this form and return with your cheque to the address below :
(cheques made payable to Sarah Raspin)

oak tree yoga, Chelmarsh, Shurlock Road, Waltham St. Lawrence, Berkshire, RG10 0HN
Should you have any queries then please email us at:

Name

Male Female 		Address
Home Telephone


   Mobile Telephone
Email Address


   Date of Birth

Your yoga experience

What are you hoping to gain from your yoga practise (increased fitness, have a stretch, relaxation, etc)

Relevant health problems / old injuries / back problems / high or low blood pressure

How did you hear about us
Signature

Date

I have enclosed payment of £48  
Privacy Statement: We will not give out your details to anybody or any company. We use customer data only to ensure appropriate yoga is offered to each student. Your booking is only secure once we have received your booking form and payment, at which point your your place on the course will be confirmed by email.