Yoga Holiday Booking Form Please fill in this booking form before making payment for your Conference Fields marked with * are required. Mr Mrs Miss Ms Other   Name*   Surname*   Address   Town   City   Postcode   Telephone*   Mobile   Email*   Class level (1, 2, 3 or don't know)* I am interested in ---------------- Select ---------------- Private class at conference Yoga at my conference Classes in Wimbledon Classes in Kew Classes in Richmond Classes in Surbiton half day workshops Yoga at my sports club Yoga practice CD Please fill in yoga experience, food preferences/allergies and relevant medical information below. How did you hear about us? ------- Select ------- Google Word of Mouth Advertising Yell.com/Yellow pages Flyer Dr/Dentist/Therapist etc Word of mouth