Registration Form

Space is limited & this event is intended for providers who serve female clients/patients with pelvic floor health concerns (cueing will be specific to female anatomy).  Your personal information will be kept confidential as required by law. Thank you for your interest!

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* 1. Please complete your contact information:

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* 2. Your occupation

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* 3. Please include me in Kathleen’s mailing list for upcoming events

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* 4. How did you hear about this event?

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* 5. Have you practiced yoga before?

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* 6. Do you have any of the following health concerns?  Modifications can be offered for health conditions that are disclosed at registration.

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* 7. What do you hope to get out of this yoga class? Feel free to mention any aspects of a yoga class that could be triggering for you.

Thank you for registering! Kathleen will contact you with any questions & you will receive a reminder one week in advance of the event. In the meantime, please review the Frequently Asked Questions & mark your calendar for Thursday February 6, 2020!

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