Client Form - 2024Please complete this form before joining a studio yoga class or a private yoga class in your own home.All information will be stored securely and reviewed annually. A PDF version of the form is available upon request. Name * First Name Last Name Email address * Phone number * Address * Emergency contact - name * First Name Last Name Emergency contact - their relationship to you Their phone number * How do you prefer to be contacted with regular information? This may include class times, Zoom links, payment receipts, etc. * email text Facebook WhatsApp other How did you hear about Yoga For Every Body? Google search Personal recommendation Local advert Website YouTube Instagram Facebook Other Can we email you our monthly newsletter, including timetable updates and offers? * You won't be added to the mailing list more than once. Yes No Please tick any conditions that affect you: * Asthma Allergies Blood pressure (high) Blood pressure (low) Heart condition Diabetes Epilepsy Auto-immune condition Joint pain Injuries Arthritis Bursitis Osteoporosis Surgery Stroke Pregnancy Other None Please add details: Why are you interested in our yoga classes? Tick all that apply small group classes online classes individual classes flexibility and mobility strength balance and coordination breathing and mindfulness functional movement other Disclaimer for participation in all yoga classes * Please read the following information carefully: I understand that, as with any physical activity, there is a risk of injury associated with yoga. I understand that there are some risks in using yoga equipment, both my own and that which is provided. I understand that it is my responsibility to consult a medical professional before participating in yoga, and to inform the teacher of any changes in my health that may affect my yoga practice. If I am pregnant, I understand that I participate fully at my own risk. Optional disclaimer for participation in face-to-face yoga classes Please read the following information carefully: I am agreeing to participate in private yoga classes either in the yoga studio, in my own garden, or in my own home, offered by Yoga For Every Body. I am aware of the COVID risk in these settings and understand that I attend in-person classes at my own risk. For classes taking place in my home or garden, I understand that it is my responsibility to create a physically safe space for the class. Optional disclaimer for participation in live online yoga classes (e.g. via Zoom). Please read the following information carefully: I am agreeing to participate in live virtual yoga classes offered by Yoga For Every Body. I understand that it is my responsibility to provide suitable equipment and create a physically safe space from which to participate in the yoga practices. Optional disclaimer for participation in on-demand yoga classes. Please read the following information carefully: I am agreeing to participate in on-demand yoga practices offered by Yoga For Every Body. I understand that it is my responsibility to provide suitable equipment and create a physically safe space from which to participate in the yoga practices. Thank you! We’ll be in touch soon.
