To Register online, fill in the form below and Bikram Yoga Westbank will contact you.
All fields are mandatory fields.

Name:
Phone:
Address: City:
Province: Postal Code: Email:
Sex: M   F Age: Referred By:
How did you hear about us?

Objectives
What is your primary goal with the Bikram Yoga Practice?
Weight Loss Injury Rehab
Increased Strength Medical Benefit
Increased Flexibility Other
List any physical ailments
Have you done general yoga before? Yes   No
Have you been to a Bikram Yoga class before? Yes   No
Do you exercise regularly now? (If so, please explain)

As a condition of my class participation at
Bikram's Yoga College of India, I agree to the following:
  1. I have been examined by a licensed physician within the past six months and have been found by such physician to be in good physical health and fully able to perform all Yoga exercises which I learn and perform during my enrollment with you.
  2. I will faithfully follow all instructions given by you and your instructors as to when, where and how to perform and not to perform Yoga exercises, it being understood that any deviation by me from such instructions shall be at my own risk.
  3. I will not hold you, your partners or employees responsible for any injuries suffered by me caused whole or in part by my failure to faithfully follow the instructions of you and your instructors or by any physical impairment of mine not fully disclosed to you in writing.
  4. I understand and acknowledge that I am to receive in Yoga theory and exercise only and I will not hold you, your partners, instructors or employees to any higher standard of care than applicable to school of Yoga theory and exercise.