Name *

First Name

Last Name

Please check any health issues that apply to you.

Please make sure to inform Steph if anything changes throughout your year together.

Pregnacy

High blood pressure

Glaucoma

High anxiety (prone to panic attacks)

Cancer

By checking this box you agreeing that you will speak with Steph directly should any health concerns arise during your YWS course.

By checking this box you are acknowledging that you will take full responsibility for yourself and are waiving any liability against Steph Wall Yoga LTD or The Kali Collective International LTD.

By checking this box you are agreeing that any outstanding balance with Steph will be paid in full by the agreed date whether you complete this course or not.

I agree

I do not have a payment plan

By checking this box you understand that life happens and there may be times where Steph is required to arrange a substitute teacher or other arrangements for you to receive your course content.

I understand