Women's Circle Registration Form
Please fill in and submit this form before your first session.
These sessions are open to all women, including those who are simply interested in boosting their overall well-being by reconnecting with their female power through Yoga and Qigong and those who have some particular health issue.
In either case, thanks for sharing your personal data - this information helps me to make the classes safe, enjoyable and beneficial for all. Please focus on the sections relevant to you and keep your answers concise, sharing only what you are comfortable with, while being sure to let me, as your teacher, know any key facts about your health.
NurtureWorks is committed to safeguarding your privacy and will never share your data with third parties for marketing purposes. Your health data will be kept strictly confidential. See my full Privacy Policy.