DCU students online yoga consultation form
Please complete as fully as possible so that your individual needs and experience may be taken into consideration.
Instructor: Mairead McCarthy (https://pearlyogaireland.ie/)
Qualification: Hatha Yoga diplomas from YTI and YTTC
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Email *
Your Name *
Your mobile number *
What club/society are you involved with? *
Have you any previous experience of yoga?  Please give details and state what level you feel you are at: *
Have you any particular reason for your interest in yoga and how do you hope to benefit? *
Required
Do you have any conditions, health problems or previous injuries?  If so, please state  (these include recent surgery, pregnancy, blood pressure, asthma, whiplash, back or heart problems, diabetes, depression, vertigo, previous muscle strains, bone fractures or breaks, etc.): *
What other forms of exercise do you take (if any) and state what fitness level you feel you are at? *
If you are unsure as to whether or not you should practice yoga due to any health problems, please consult your doctor. While every effort is made in the course of the sessions and classes to provide practices, exercises and training which are suitable to the student, it is the duty of the student to inform the teacher of all illnesses or weaknesses of whatever nature which might render the practices, exercises and training injurious or strenuous to the student. It is not necessary for the student to undertake the practices, exercises and training suggested by the teacher.  All practices, exercises and training are undertaken by the student voluntarily and in the event of accident or injury no claim will lie against the teacher or the organiser of the classes.  Please confirm you accept this: *
Would you like to subscribe to updates from Pearl Yoga (please note your data will not be shared with anyone else)? *
Any other information you would like to provide? Any questions, please contact: info@pearlyogaireland.ie
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