Class Sign-Up Form for Existing Students

Contact Madeline Kanuka for any questions and to confirm class availability
  • Email:
  • Telephone (call, text, and Whatsapp): +44 7745 842414
  • Social Media: @yogabymadeline

Question Title

* 1. Student Information

Enter your full name.

Only enter contact information if it has changed since your last class, lesson, or event with Madeline.

Question Title

* 2. Note if your preferred method of contact has changed

Question Title

* 3. Class Selection

Question Title

* 4. Class Date


Question Title

* 5. Payment

Please note if your payment method has changed.

Here's a recap of prices and terms:

Payment can be done through PayPal, Revolut, or Exact Change 
  • If you choose to pay cash and are a no-show or drop out within 24-hrs of the start of class, you can only attend a future class if you pre-pay for the price of 2 classes (the one you will attend, and the one you missed)

Advanced payment is highly recommended in order to reserve your spot, as they are limited due to social distancing measures.

Class Price List
  • Ethical Weigh: £8 (yoga mat and prop rentals not included)
  • Wholegreen: €10 or £9

Lessons & Events: Contact Madeline for prices

Question Title

* 6. Cancellation Policy

You will receive a refund if you cancel at least 24-hours before the reserved class. You will not receive a refund if you cancel less than 24-hours before the reserved class

Question Title

* 7. Any medical changes (if applicable) 
Or anything else to note?

Question Title

* 8. I understand and acknowledge that I am fully responsible for any and all risks, injuries or damages, known or unknown, which might occur as a result of my participation in the classes, programs, workshops or other activities led by Madeline Kanuka, Certified Yoga Instructor. Hereby, I waive and release Madeline Kanuka from any claim, demand, and cause of action resulting from or related to my participation in any of her led activities offered at any premises.

I also affirm that I am in good health and physical condition to practice yoga, and I understand that yoga is not a substitute for medical attention, examination, diagnosis or treatment. If I have any medical conditions, physical limitations, am pregnant, become pregnant or I am post-natal or post-surgical, I verify that I have my physician’s approval to participate.

Question Title

* 9. COVID-19 Precautionary Terms

I affirm that I, as well as all household members, do not have, nor have experienced any of the following symptoms within the last 14 days: fever, fatigue, dry cough, and difficulty breathing

I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 30 days

I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 30 days

I affirm that I, as well as all household members, have not traveled outside of Ireland and the UK within the last 14 days

Question Title

* 10. (Optional) If you haven't already, would you like to join the WhatsApp group for your class(s) and/or receive occasional updates and words of positivity in Madeline's upcoming newsletter? You may unsubscribe and/or leave the group at any time.

Join the Wholegreen Wednesday WhatsApp group directly here:

0 of 10 answered