Postnatal Yoga
Registration form for postnatal yoga - strictly confidential
Name: *
Email *
Phone number: *
Date of baby's birth:
MM
/
DD
/
YYYY
Type of birth (vaginal, forceps, ventouse, c-birth):
Age of any other children
Have you had your 6/8 week check?
Clear selection
Have you seen or are you planning to see a Women's Health Physio (recommended)?
Clear selection
Health conditions *
tick any of the following
Please give further details of any health issue, previous surgery or injuries:
Have you practised yoga before?
Can I hold your personal details / contact information on computer / hard copy to comply with GDPR? *
Required
Can I contact you with information about other yoga and hypnobirthing courses? *
How did you hear about this class/course?
Thank you for filling out this form
As far as I'm aware, I have disclosed to my yoga teacher all information regarding my health relevant to the practice of yoga. I take full responsibility for all applications of yoga I may practise during my yoga class, outside of the yoga classes. I full understand that the recommendations, ideas or techniques expressed and described in yoga classes as well as in books and videos cannot be regarded as substitutes for the advice of qualified medical practitioners. Any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk.
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