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Register for Yogam
MVP registration form (Participant info, health, program selection, consent)
Participant Information
Full Name *
Email *
Mobile Phone *
Age *
Gender (optional)
--
Female
Male
Non-binary
Prefer not to say
Emergency Contact Name *
Emergency Contact Phone *
Health & Safety
Prior Yoga Experience *
--
Yes
No
Physical Activity Level *
--
Sedentary
Light
Moderate
High
Injuries or Medical Conditions (optional)
Program Selection
Program Type *
--
90-Day Program
Monthly
Primary Goals (select up to 2) *
Choose 1 or 2.
Flexibility
Strength
Stress Reduction
Weight Management
Injury Recovery
Mindfulness
General Wellness
Class Preferences (Optional)
Preferred Class Time
Preferred Format
--
In-person
Online
Hybrid
Additional Notes (Optional)
Motivation for Joining
Notes for Instructor
Consent & Acknowledgement
I confirm the information is accurate *
I acknowledge risks associated with physical activity *
Register
This is an MVP form. Billing/scheduling are out of scope.