Class Booking Form

This form is designed to give us information about you so that we can provide you with the safest and most enjoyable yoga practice. Everything you share with us will be completely confidential. If you feel unable to answer any questions don’t worry, we can discuss them further if needed.

First name

Last name

Address

Phone

Birthday

Day

Month

Year

Emergency contact (name, relationship and phone number)

Which class are you interested in joining?

Do you have any experience of yoga, meditation or mindfulness?

Do you have any current chronic health conditions, injuries, musculoskeletal issues or areas of limited mobility/pain or are you dealing with any other physical health concern? If so please describe:

Do you have any mental health conditions or experiences you’d like me to be aware of, so I can support you in class?

Are you currently on any medications (prescribed or bought over the counter including herbal and other supplements)? Do you experience any side-effects?

What is your current work status? (Full time employed, part time employed, self-employed full or part time, not working)

What would you like to gain from these sessions?

Is there anything else you would like to share?

How did you hear about this course?

Thank you for sharing. We will get back to you with in the next few days to confirm your booking for the class. All your information is stored securely and inline with GDPR recommendations. Please press submit to complete this form.

Class Booking Form

Subscribe to our newsletter for our latest news, wellbeing tips and practices