SayPro Registration Form Template: Capture participant information such as yoga experience level, wellness goals, and preferred mode of participation (virtual or in-person

SayPro Registration Form Template for Yoga and Wellness Programs

This template is designed to capture essential participant information during the registration process for yoga and wellness programs. It helps to understand the participant’s background, preferences, and goals, which can assist in tailoring the program to meet their individual needs. Below is a detailed breakdown of the fields and sections to include in your registration form.

1. Personal Information Section:

Full Name:
– First Name:
– Last Name:

Email Address:
– (Ensure it’s in a valid email format)

Phone Number:
– (Include fields for country code if applicable)

Date of Birth:
– (For age verification and tailoring age-specific programs)

Gender:
– (Optional, can be used for personalized recommendations or classes)

2. Yoga Experience and Practice Level Section:

What is your current experience level in yoga?
– Beginner (New to yoga)
– Intermediate (Regular practice for a few months or years)
– Advanced (Have been practicing for years and attend advanced classes)

How long have you been practicing yoga?
– Less than 6 months
– 6 months to 1 year
– 1-3 years
– More than 3 years

Do you have any preferred styles of yoga?
(Select all that apply)
– Hatha Yoga
– Vinyasa Yoga
– Ashtanga Yoga
– Yin Yoga
– Restorative Yoga
– Other (Please specify)

How frequently do you practice yoga?
– Daily
– Several times a week
– Once a week
– Occasionally
– This is my first time

3. Wellness Goals Section:

What are your primary wellness goals for joining this program?
(Select all that apply)
– Improve flexibility
– Increase strength
– Reduce stress/anxiety
– Improve posture
– Enhance mindfulness
– Weight loss
– Improve overall fitness
– Connect with others in a supportive community
– Other (Please specify)

Are there any specific health concerns or conditions we should be aware of (e.g., injuries, chronic pain, etc.)?
– (Yes/No)
– If yes, please describe:

What would you like to achieve by the end of the program?
– (Open-ended question for participants to describe their personal goals)

4. Preferred Mode of Participation Section:

What is your preferred mode of participation?
(Choose one)
– Virtual (Online via Zoom, etc.)
– In-person (At a physical location)

If choosing in-person, please indicate your preferred class location:
– City/Area Name:
(Include a dropdown or options list for locations if the program operates in multiple cities)

If choosing virtual, please specify the time zone you are in:
– Timezone selection dropdown (for scheduling virtual classes)

Do you prefer live sessions or recorded content?
– Live sessions only
– Recorded content for flexibility
– No preference

5. Additional Preferences and Information Section:

What time of day do you prefer to attend classes?
– Morning (6 AM – 9 AM)
– Midday (10 AM – 2 PM)
– Afternoon (3 PM – 6 PM)
– Evening (7 PM – 9 PM)

Would you be interested in additional wellness services (e.g., meditation, nutrition coaching, etc.)?
– Yes
– No
– Maybe, I need more information

How did you hear about this program?
– Referral from a friend/family
– Social media (Facebook, Instagram, etc.)
– Website
– Email marketing
– Other (Please specify)

6. Consent and Acknowledgements Section:

Waiver of Liability:
– By submitting this form, I acknowledge and accept the terms of the waiver, which outlines the potential risks associated with yoga practice and the need for me to seek medical advice if necessary.

Privacy Policy Acknowledgement:
– I consent to the collection of my personal information for the purpose of program registration and communication. I have read and agree to the privacy policy.

Emergency Contact Information:
– Full Name of Emergency Contact:
– Relationship:
– Phone Number:

7. Payment and Confirmation Section (if applicable):

Program Fees:
– Standard Program Fee:
– Discounts or Promotions:
– Total Payment Due:

Payment Method:
– Credit/Debit Card
– PayPal
– Bank Transfer

Payment Confirmation:
– I confirm that I have reviewed the program fees and agree to the payment terms.

8. Submit Button:
– “Submit Registration” Button

Additional Notes for Customization:

– Branding and Design: Include the program’s branding (logo, colors, etc.) to ensure consistency with your website or marketing materials.
– Confirmation Email: Once the form is submitted, send a confirmation email with the details of the registration, along with next steps or important program information.
– Follow-Up: For participants who have specific health concerns or goals, consider a personalized follow-up to ensure the program aligns with their needs.

This detailed registration form template will ensure you collect the necessary information to provide a personalized and effective experience for each participant, whether they choose to participate virtually or in-person.