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Meditation Session Registration Form Template: New Clients

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Personal Details

Full Name

Phone Number

Emergency Contact Name

Date of Birth

Email Address

Emergency Contact Number

Medical History

Do you have any existing medical conditions?

List any surgeries or major injuries

Current Medications (if any)

Meditation Experience

Have you practiced meditation before?

Acknowledgment & Assumption of Risk

Consent for Emergency

I consent to medical treatment in case of an emergency.

Acknowledgement

I affirm that I have disclosed all relevant medical history to the instructor and will inform them of any changes.

Assumption of Risk

I understand that meditation includes physical movements and exertion. By participating, I acknowledge and voluntarily assume the risk of injury.

Release of Liability

I hereby release [Studio Name/Instructor's Name], from any claims, demands, and causes of action as a result of my voluntary participation in the offered classes

Signature

Clear Signature

Date of Signature

Registration Fee

Price: $50.00

Stripe Credit Card

Card

Name on Card

pro

This template includes features available in WPForms Pro. Compare Plans

The Meditation Session Registration Form Template by WPForms is designed for health practitioners, psychologists, and therapists who want to simplify enrollment for individuals seeking to participate in meditation sessions.

How Does the Meditation Session Registration Form Template Work?

The Meditation Session Registration Form Template requires the WPForms Pro License and the Signature Addon to collect the necessary information from clients and acquire their consent for the terms and conditions. Fields include:

Personal Details:
- Full Name: Collects the participant’s full legal name.
- Date of Birth: Records the participant’s birth date for age group sessions.
- Phone Number: A direct contact number for session updates or urgent communication.
- Email Address: Used for sending confirmations, updates, and further instructions.
- Emergency Contact Name: Someone who can be contacted in an emergency.
- Emergency Contact Number: A direct line to the participant’s emergency contact.
Medical History:
- Do you have any existing medical conditions?: Identifies any health issues that could affect the participant’s experience.
- List any surgeries or major injuries: Information about past surgeries or injuries to accommodate during sessions.
- Current Medications (if any): Details about medications that might need to be considered during the session.
Meditation Experience:
- Have you practiced meditation before?: Determines the participant’s experience level with meditation.
- If yes, how long and what type(s) of meditation?: Additional details about the participant’s meditation background.
Acknowledgment & Assumption of Risk:
- Consent and Liability Release: To ensure the participant acknowledges the terms and potential risks.
- Signature and Date: A field for the participant to sign, validating the information and consent provided.
- Registration Fee: Displays the total cost involved for registering to the meditation classes.
- Payment Information: A payment field that is integrated via Stripe for secure fee processing.

Sign up with WPForms today and access the Meditation Session Registration Form Template. This template is particularly useful for managing group sizes, planning session content based on participant experience, and effectively addressing any health considerations.

Our form templates let you create any kind of WordPress form in a few clicks.

You can select any template to view the demo and try it out. If it works for you, you can import it and publish it in minutes. Each WPForms template is fully customizable too. Our drag and drop form builder makes it easy to adapt any template to fits your business’ needs. When you use our form templates, you can easily: