Please complete and submit the form below before attending your first class.
Any health or medical information given here will be handled in the strictest confidence and is requested to ensure that you have a safe experience in your Yoga class.
Adult Health Questionnaire/ Terms & Conditions
Date Of Birth
Do any of the following conditions apply to you?
If you clicked yes to any of the above, or if you have any other medical condition not mentioned above, please provide further details here
Are you currently taking any medication? Please provide details below
Any other relevant information that your Yoga teacher should know