The Dharma Room
Sioux Falls Premiere Yoga Studio and Wellness Center
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Event Registration
For which event would you like to register?
-Select a choice-
Monday Meditations with Melissa
Hot Yoga with Jill
Pilates with Virginia--June
Intro to Tai Chi
Pre Natal Yoga
Power Yoga Workshop
Manifest your Intentions Meditation with Veronica
Crystal Bowl Meditation
"You Gotta Be Outta Your MIND" Coaching Workshop
Yoga Boot Camp with Anna Leisa
Soul Breathing Workshop July 30th
Soul Breathing Weekend Immersion Workshop
For which month?
-Select a choice-
January
February
March
April
May
June
July
August
Name
Address
Email Address
Phone number
Do you have any health conditions we should know about?
High Blood Pressure
High Cholesterol
Diabetes
Weight Management Concerns
Cancer
Arthritis or other bone/joint issues
Glaucoma or other eye concerns
Pregnancy/Post-natal
Other
None
Are you able to participate in physical activity?
-Select a choice-
Yes, absolutely!
Yes, I have my physician's clearance
No, I have limitations. Please contact me for more info.
I am interested in learning more about:
Ayurveda
Nutrition
Exercise options
Weight management
Stress management
Managing heart disease
Managing diabetes
Managing cancer
Outdoor skills and activities
Creative arts, such as poetry, writing and music
Yoga alignment and anatomy
Yoga philosophy
Other
Additional Comments
Thank you for your registration! Would you like The Dharma Room staff to contact you regarding:
Private Yoga instruction
Massage
Cardiac and Cancer Yoga Therapy
Health & Wellness Coaching
Ayurveda Consultations
Weekend Instructors
Saturday September 4--Anna Leisa
Sunday September 5--
