Ficha Personal

Nombre y apellido

¿Cómo te gusta que te llamen? (sobrenombre?)

Pronombre

DNI

Fecha de nacimiento

Celular

Instagram

Edad

Provincia

Ciudad

País

¿Practicaste Yoga alguna vez?

¿Qué tipo de Yoga?

¿En qué escuela/con qué profesor?

¿Durante cuánto tiempo?

¿Practicaste o practicás alguna otra actividad física, deporte/danza, etc?

¿Cómo te enteraste de la formación/intensivo/clase/curso?

Tratamiento médico o psicológico. Especificar patologías de corazón y/o pulmones/ presión arterial alta / afecciones ocultares / de oído/ vértigo

Dificultades físicas, lesiones, accidentes

¿Tomaste o tomás algún tipo de medicación cardíaca, psicofármacos, etc?

¿Operaciones ? Indicar fecha

¿Estudias, estudiaste? Disciplina

¿Trabajás? Indicar cargo

¿Hobbies?

Comentario

Me comprometo a enviar vía correo electrónico mi DNI y apto médico dentro de los próximos 5 días.

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