Holistic Yoga & Healing Meditation Program

Application for Enrollment & Waiver

6 Weekly live sessions of Holistic Yoga & Guided meditation 

on Saturdays at 4:30pm-6:30pm 

starting on 6/25/2016 and ending on 7/30/2016

at Mind Body Yoga at 12636 Research Blvd., Suite 206, Austin, TX 78759 

(includes 1x75min Private Healing Session plus 6x 2weekly yoga classes at Mind Body Yoga as well as online access to video & audio recordings of Holistic Yoga & Guided meditations)

Registration closes 12Noon Friday, June 24th, 2016

I understand that participation in this program is strictly voluntary and involves physical exercise. I understand that physical activity poses some risk of physical injury and that I may want to consult with my family physician before my participation. I hearby voluntarily assume all risk of injury during my participation and forever release and discharge Holistic Healing & Yoga and its associates, instructors and agents from all claims, demands and damages resulting from my participation.

HYHM Program Fee: *
Paid by: *
I have read and understood the terms, conditions and refund policy of the Program enrollment. *
Requested Appointment Day&Time(CST) for Private Healing Session. For other times & time zones, please make special request below )
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Thank you for enrolling on HYHM program! We will be in touch with you soon with the program guide and to confirm your private healing session appointment time & date. Namaste!