Santosha School of Yoga, Registration and Request Form

Registration - Yoga Class or Workshop

We are pleased you will be attending our yoga class or workshop. Use this form to list your contact information, sign up for our E-mail list and send your comments to our director. NEW students are required to register. You may pay for your class card at the first class.

Items listed in bold are required. Your information is kept private, however this is not a secure form. Feel free to come in and register in person at the studio. Your information will never be distributed or sold outside of Santosha School of Yoga.

Name (First and Last)

Phone (primary contact #)

Phone (alternate)

Phone (cell)

E-mail*

Mailing Address

City

State

Zip

How did you hear about us? If a brochure, flyer or business card, where was it from or who referred you.

E-mail Subscribe* or Unsubscribe
Check here to begin receiving our yoga announcements. *We periodically send out yoga class or studio announcements. We do NOT sell or share your E-mail or information.
Check here if you DO NOT wish to receive yoga class or workshop announcements and studio news. (sent approximately 1 or 2 times a month.)
Already subscribed previously.

Class/Workshop Selection: (see our Schedule)

Class Title

Day of Class or Workshop
Monday - Tuesday - Wednesday
Thursday - Friday - Saturday - Sunday

Time Start Date (if applicable)

Additional Class/Workshop Selection:

Class Title

Day of Class
Monday - Tuesday - Wednesday
Thursday - Friday - Saturday - Sunday

Time Start Date (if applicable)

Students may purchase a 'class card' at your first class. 10 class card is valid for 4 months. 6 clas card is valid 3 months. We also offer a 3 class trial introductory class card.

Arrive 10 minutes prior to start of class and 15 minutes before workshops. Payment can be made with check, cash or credit card at your first class or online. (note: this link opens a new window so you won't loose this information. See our Fee Schedule for prices (opens a new window)

NOTE: By submitting this form you agree to the waiver listed at the right of this form. A printed 'Release Form Agreement' will be available in the studio, for your review and signature, at your first class.

Notes to Instructor
Use this space below to write us:
• Please use this space to request to join our Email News
• New Students may send a message to the yoga instructor.
• Current students may send us your comments or testimonials about how you've enjoyed your experience at The Santosha School of Yoga.
Join our E-mail announcements or send us your comments: Write here...

Thank You!

NOTE: If your web browser does not support forms, you may come to the studio to fill out the form at your first class. Or send your E-mail request to us at
Or you may print the form and fax it to 410-876-7443 (FAX)

Release Form Agreement - By submitting this form shown at the left you agree to the following statement.
I release from all liabilities, claims, costs, expenses or judgements, including legal fees and court costs, The Santosha School of Yoga, its instructors and directors, for injuries of any nature sustained by me during my enrollment and participation in yoga classes, including classes to which I drop-in. As with any form of exercise, there are potential risks in practicing yoga. I acknowledge that I have completed the questionnaire, indicating my experience level and any physical conditions, past injuries or surgeries that might affect my yoga practice. I also acknowledge that I am responsible for communicating any and all previous or current physical conditions, including injuries, to my instructor.

I acknowledge that I have read and understand this Release.

I acknowledge that this Release shall remain in effect and valid during any and all sessions for which I am registered, and any and all classes to which I drop-in.

In witness whereof, I have signed this Release. (Witnessed by the Director of The Santosha School of Yoga via electronic form submission)

YOUR SIGNATURE is effected from the moment you submit this form to register for a class, workshop or session. (A printed copy is available at the studio for your review.)