Confidential New Client Form
Please fill in the below form and submit at least 24hrs prior to our arranged session/event.
How would you rate your physical fitness?
How did you find out about Nic Whiteman/Inspya Yoga Therapies?

By hitting 'Submit Form' I declare that I have stated all medical conditions that I am aware of and will update Nic Whiteman if any changes occur in the future.  I take full responsibility for attending this session / event and will not exceed my limits in the practice of Yoga and Meditation.  I declare that I do not know of any reason nor healthcare professional's recommendation to not attend this session.

I am required to cancel my attendance if I am showing signs of fever, cold, sore throat, flu-like symptoms, if I have recently travelled to Covid hotspot areas or been in contact with any positive cases.  

 

I understand there is a cancellation policy of 24hrs prior notice and penalties apply when cancelling with less notice.

Contact
Inspya Yoga Therapies with Nic Whiteman

Tel: 0434 417 261

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