Day Guest

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1 Welcome

Select a price.

€10.83 – Asana AM (13€ incl VAT)

€20.83 – Asana AM + Meal AM (25€ incl VAT)

€10.83 – Asana PM (13€ incl VAT)

€20.83 – Asana PM + Meal PM (25€ incl VAT)

€41.67 – Full day visit - Asana AM/ PM + Meal AM/ PM (50€ incl VAT)

€95.83 – Ten-class card (115€ incl VAT)

Guest 1		First Name* Last Name* Gender* Male Female Email*
Guest 1		First Name* Last Name* Gender* Male Female Email*

After completing this form, emails will be sent to everyone in your group to complete their information.

Date of Visit *
Gender *	Male Female
Birth Date *
Translation Required (TTC) *	De l'anglais vers le français No, comprendo el inglés Del inglés al español Please bring your own headphones (type MP3) to use with our translation system.

First name (emerg.) *
Surname (emerg.) *
Emergency contact address
Emergency contact phone number *
Emergency contact email *
Relationship *

Medical Issues / Illness *	Kindly list any ailment or physical limitations that we should know about. Have you ever suffered from any mental illness or have you been treated for any mental illness? Please explain. Enter "none" if you have no issues
Prescribed Medications *	Are you currently using any prescription medicine? Are you taking any recreational drugs? Please name them enter "none" if you are not taking any medicine / drugs.
Are you pregnant? *	Yes, pregnant No By clicking yes I hereby accept conditions of participation Je suis enceinte et confirme avoir lu et accepté les conditions de participation conditions de participation
Pregnancy Terms and Conditions	If yes to above, I accept the terms and conditions.Please read the terms and conditions
Meal type *	We will work hard to meet your special dietary requests but cannot guarantee to accommodate every individual request.
Nationality *
How did you hear about us?
Have you previously visited the Ashram de Yoga Sivananda? *	Yes No
Length of time practising Yoga *	0-6 months (beginner) ~1 year 1-3 years 3+ years
Have you taken the Sivananda Yoga Vedanta Teachers’ Training Course? *	Yes No
Date of TTC
Which languages do you speak?
Sivananda Newsletter *	Please send me the email newsletter Do not send me the email newsletter
Comments

General Terms and Conditions *	I have read and agree to the: General Terms and Conditions and Cancellation Terms
Please read the cancellation policy *	I have read and accept the cancellation policyPlease read the terms and conditions