Skip to Main Content
YOGA, PILATES & MASSAGE
TEACHERS TRAINING COURSES
CLASSES & PERSONAL TRAINING
GLOBAL RETREATS
YACEP® COURSES & WORKSHOPS
EN
EN
EL
Log In
Teachers
Retreats
TTC & Workshops
Stay at Urban Yoga House
Massages
Schedule / Live & Online
Home
News
Gallery
Yoga & Art
Contact
Yoga Fusion - Application Form
Choose your Course
arrow&v
Please select as applies:
I have a heart condition and only medically supervised activity is recommended by my doctor
I am aware of conditions that might prohibit me from exercising without medical supervision
I often experience chest pain brought on by physical activity
In some occasions I lost consciousness or fallen over as a result of dizzyness
I have a bone or joint problem that could be aggravated by physical activity
I am pregnant
I am on medication for my blood pressure or a heart condition
I do not have any medical condition
I understand that it is my responsibility to inform you for all the above conditions
I hereby state that I read, understoond and selected honestly the fields above
I realise that my participation in the physical activity involves the risk of injury
I am interested to be included for the food / brunch. (Please inform us on the box above about about allergies, vegan/vegetarian choice)
Apply Now
Thanks for submitting!
Deposit / Full Payment
