registration form — abhyasa yoga

Skip to Content

Please complete the following form. We look forward to connecting with you!

Name *

First Name

Last Name

Phone

(###)

###

####

Email *

Postcode

Age

Previously Trained As

Yoga Teacher

Yoga Therapist

Medical Practitioner

Allied Health Professional

Other

Please Specify

Currently registered with:

Yoga Australia

Yoga Alliance

AusActive

IAYT

Other

Please Specify

Please advise any medical or physical condition(s) you have:

I acknowledge that it is my responsibility to advise any injuries or health conditions I may have. I consent to undertaking any movement activities with awareness of any risk involved and agree to participate within my own limits and capabilities to avoid injury. I expressly waive any claim I have against Abhyāsa Yoga, Jodie Lunn, Alicia Trevelyan, Robin Rothenberg or Essential Yoga Therapy for any injuries sustained whilst undertaking the registered training. *

I acknowledge

Would you like to subscribe to our Quarterly Yoga Research Update?

Yes, please

No, thank you

Message *

Thank you for providing the above details. We look forward to connecting with you!

—Jodie and Alicia

abhyasayoga

by appointment—northern rivers nsw
+61 419 269 993 hello@abhyasayoga.com.au
events T&C’s registration form contact