Yoga Client Registration & Health Form

Welcome, I am looking forward to supporting you in a yoga practice and would like to record safely some information that will help me create a class that meets your specific health needs or concerns. I will review the information provided and discuss modification that may assist you before your first class.

Please read the following before submitting your information.

You understand that yoga involves physical movement and that you are responsible for communicating changes in your condition, discomfort or concerns during the practice.

You understand that you may rest, decline a movement or request a modification at any time.

You understand that yoga instruction is not a substitute for a medical diagnosis.

By submitting this form you agree that you have answered to the best of your knowledge and you consent to the collection and use of your information for the teacher so that they can instruct you on suitable and appropriate movement.

By submitting this form you agree and acknowledge that yoga involves physical movement and there may be risk of injury, you agree to release and hold the teacher harmless from any liability, claim or damages arising from your participation.

By submitting this form you agree that you have had medical clearance to safely engage with exercise and that you are responsible for monitoring your own physical limits and stop if you feel pain or discomfort.