הרשמה

Yoga is a practice method suitable for any age and strength, agility and flexibility level, however, there are certain health situations which require different practicing or special attention, on behalf of the student and the instructor.

Please fill in the following details, so that your practice will be best suited to you. All the details are confidential and are not delivered to any party other than Darma Yoga instructors.

First Name *

Last Name *

Gender (Choose, Male, Female,other) *

E-Mail Address *

סיסמה *

אשר סיסמה *

Cellphone *

Date of Birth *

Address *

City *

How did you hear about us? *

Interested in receiving e-mail updates? (Choose, Yes, No) *

Interested in receiving WhatsApp/sms updates? (Choose, Yes, No) *

If registering a child / minor (by law), please name of parent / guardian

Do you come to class with a baby? If so, fill in the next questions (if not, skip to the headline “Health Declaration”) (Choose, Yes, No *

Baby Name

Baby Date of Birth

Does the baby suffer from any medical condition? Yes/no, if yes, please specify

Health Declaration

Blood Pressure (Hypertension / Hypotension) (Choose, No, Yes - please specify) *

Diabetes (Choose, No, Yes - please specify) *

Chronic Headaches (Choose, No, Yes - please specify) *

Asthma or breathing problems (Choose, No, Yes - please specify) *

Joint problems (including knee problems) (Choose, No, Yes - please specify) *

Spinal problems (back, neck) (Choose, No, Yes - please specify) *

Any chronic disease (active or dormant) (Choose, No, Yes - please specify) *

Heart conditions (Choose, No, Yes - please specify) *

Surgeries during the last year (Choose, No, Yes - please specify) *

Pregnancy (also a young one) (Choose, No, Yes - please specify)

Problems and special conditions during pregnancy (Choose, No, Yes - please specify

Other medical conditions (Choose, No, Yes - please specify) *

Highly important: our body is out best instructor, and it is important to listen to it during the exercise. Pain is a warning signal by our body. Treat it with respect and don’t attempt to work out in any situation of pain or physical distress.

I hereby declare that all the details above are complete and correct

I hereby declare that any activity in the Darma center is done under my sole responsibility.

I hereby declare that I have consulted a doctor and I am fit to participate in yoga lessons according to his recommendation

I hereby oblige to notify Darma about any change in my medical condition (including pregnancy)

I have read and understood the attached Darma code of conduct.

I declare (Choose, I declare) *

מסכים עם התקנון - agree to Code of Conduct

דארמה יוגה

Health Declaration and Student Details

Health Declaration

I hereby declare that all the details above are complete and correct

I hereby declare that any activity in the Darma center is done under my sole responsibility.

I hereby declare that I have consulted a doctor and I am fit to participate in yoga lessons according to his recommendation

I hereby oblige to notify Darma about any change in my medical condition (including pregnancy)

I have read and understood the attached Darma code of conduct.

Signature

דארמה יוגה

Health Declaration and Student Details

כניסה ללקוחות קיימים

הרשמה ללקוחות חדשים

הרשמה

Health Declaration

I hereby declare that all the details above are complete and correct

I hereby declare that any activity in the Darma center is done under my sole responsibility.

I hereby declare that I have consulted a doctor and I am fit to participate in yoga lessons according to his recommendation

I hereby oblige to notify Darma about any change in my medical condition (including pregnancy)

I have read and understood the attached Darma code of conduct.

Signature

איפוס סיסמה

אימות אימייל

קוד אימות נשלח לאימייל שלך.במידה ולא קיבלת כדאי לבדוק בתיקית ספאם.

עדכון אימייל \ שליחת קוד מחדש

במידה ולא קיבלתם אימייל כדאי לבדוק תקינות של כתובת אימייל או לנסות לשלוח קוד מחדש

קוד אימות נשלח לאימייל שלך.
במידה ולא קיבלת כדאי לבדוק בתיקית ספאם.