Book a Course Name* First Last Email* Newsletter I am happy for my email to be included in your database so that I receive a bi-monthly newsletter sharing events, class information...etc NB: If you know you are already part of the Manaia database please don't re-tick this newsletter box. Thanks.PhoneTerm 4, 2021 Courses* In-person Level 1: Mondays, 9.30am. Class is full. Online Level 1: Mondays, 9.30am-10.45am, Oct 18 - Dec 13, $128. In-person Level 1: Tuesdays, 6.30pm-7.45pm, Oct 19 - Dec 14, $144 Online Level 1: Tuesdays, 6.30-7.45pm, Oct 19 - Dec 14, $144 In-person Level 2: Thursdays, 5.30-6.45pm, Oct 19 - Dec 16, $144 Online Level 2: Thursdays, 5.30-6.45pm, Oct 19 - Dec 16, $144 Online Restorative: Thursdays, 7.15pm-8.30pm, Oct 19 - Dec 16, $144 Casual Attendance - when space allows Welcome Deal - only available if you haven't studied with Melissa before and space allows. 3 classes to use over a 5-week period. 2021 Costs* One 75min class/week = $144. Two 75min classes/week = $261 Casual $20/class Welcome deal - $45. Physical Injuries and/or Health Conditions:Please indicate if you have any physical injuries or health conditions that may affect your participation in the class. Include things such as high blood pressure, depression, menopause, glaucoma, trauma recovery. . .etc. Please be specific with any back or neck injuries if you have the information.Experience*Please note your Yoga experience.How did you hear about these classes?If word of mouth, please reference the person or business. Thank you. Why have you signed up for Yoga classes?*Some ideas: improve strength, relaxation, learn about breathing, “me” time...Waiver/Business Terms* I acknowledge the inherent risks associated with Yoga and any physical exercise. I accept those risks and enter classes with Melissa freely of my own decision. I will hold no one to blame for any injury arising out of attendance at these classes. By ticking this box I agree that I have read and understood the waiver, and agree to the booking terms (classes not used cannot be transferred to the following term). CommentsPlease feel free to enter any details here you would like me to know about. If you would like to attend more than one class per week then please list your second class in this section. Thank you.