Registration for the 30 Day Challenge OR the 5X4 Challenge and Transformation Challenge starting on 1st February until 2nd March 2019 Fields marked with * are required. PERSONAL INFORMATION Name * First Name Last Name Phone Number * (###) ### #### Email Address * Please select the Challenge you wish to register for? * 30 Day Challenge (30 Classes in 30 Days). 5X4 Challenge (5 Classes per Week in 4 Weeks). How long have you been practicing Yoga? * 1-3 Months. 3-6 Months. 1-2 Years. Over 2 Years. Select your Student Status? * New Student. Current Student. Returning Student. SELECT THE CHALLENGE YOU WISH TO PARTICIPATE IN: Will you purchase the 30 day or 5X4 Challenge package? If you have a current Membership, it will be put on-hold. * YES, the Special 30 Days Challenge package for 12,000 KES. YES, Special VIP 30 Days Challenge package for 21,000 KES (Includes Mat + Towel rentals). YES, the Special 5X4 Challenge package for 12,000 KES. YES, Special VIP 5X4 Challenge Package for 18,000 KES (includes Mat and Towel rentals). NO, I will use my Current Membership to participate in the Challenge. What are your goals for the Transformation Challenge? (Choose one or more) * Weight loss. Reduced pain and stiffness. Recovery from injury. Improved self confidence. Increased energy and vitality. Improvement in Asana (flexibility, balance, strength). Will you participate in Bikram Yoga Nairobi Transformation Challenge? * Each package comes with: – Free weekly clean eating meal plan for 30 days . – Free yoga, measurements and meal tracker. – Free weekly clean eating shopping list . – Access to private Facebook/Whatsapp Yes, 30 days of Yoga and Juices/Smoothies, a new Green Juice every week for 10, 800 KES for Members using current Membership. Yes, Regular 30 days of Yoga and Juices/Smoothies, a new Green Juice every week for 22,800 KES for Non Members or Members who choose to put their Membership on hold. Yes, VIP 30 days of Yoga and Juices/Smoothies, a new Green juice every week for 31,800 KES for Non-Members or Members who choose to put their current Membership on hold. Yes, (5X4) 20 days of Yoga and Juices/Smoothies, a new Green Juice every week for 7,200 KES for Members using their current Membership. Yes, Regular (5X4) 20 days of Yoga and Juices/Smoothies, a new Green juice every week for 19,200 KES for Non Members or Members who choose to put their membership on hold. Yes, VIP (5X4) 20 days of Yoga and Juices/Smoothies, a new Green Juice every week for 25,200 KES for Non-Members or Members who choose to put their current Membership on hold. NO, I wont participate in Transformation Challenge. Share with Us any comments, feedback or suggestions to help improve your experience at our Studio. * Thank you for registering for the challenge, we will get back to you shortly.