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2 Day Yoga Workshop Enrolment Form

Home•2 Day Yoga Workshop Enrolment Form

2 Day Yoga Workshop Enrolment Form yoga 2018-01-03T09:55:37+00:00

2 Day Yoga Workshops Enrolment Form

Personal Details
First Name*
Surname*
Title*
Other
Address*
Email*
Website
Mobile*
Home Phone
Work Phone
Date of Birth*
Nationality*
Occupation*
Emergency Contact Name*
Emergency Contact Telephone Number*
How did you hear about our courses?
Other
Experience
Please provide brief details of your educational qualifications and professional training: (Certificates / Diplomas etc)*
Please give details of your yoga training and experience: (Include whether student, teacher, health practitioner, style of yoga, duration of study, names of schools/teachers, brief description of personal yoga / meditation / pranayama etc. practice)*
Provide brief details of any medical condition or injuries you have: (Include medications, psychiatric treatment, nervous disorder, etc.)*

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Address

Kawai Purapura Retreat Centre
14 Mills Lane, Albany
North Shore, Auckland, 0632
New Zealand
(0064) 9 415 9468

General Inquiries

The Reception Opening Hours are:
8.30am – 8.00pm Monday – Friday
7.00am – 7.00pm Saturday
8.00am – 5.00pm Sunday

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