Children's Yoga Registration Form
Practicing yoga is a fun way to improve physical fitness and to cultivate a healthy attitude towards body image and confidence in a safe environment.

Children are encouraged to move only within their own comfort levels. Yoga is a non-competitive activity

Child's name *
Your answer
male or female *
Child's date of birth *
MM
/
DD
/
YYYY
Address *
Your answer
Parent's name *
Your answer
Parent's email address *
Your answer
Contact telephone number *
Your answer
Secondary contact number *
Your answer
Has the child practiced yoga before? *
What are your main reasons for wanting your child to practice yoga? *
Your answer
Medical information
Does your child have any medical issues? Please give as many details as possible concerning conditions listed below or conditions that may affect your child’s health or safety (incl details of any known allergies)
Diabetes *
Epilepsy *
Asthma *
Recent fractures or sprains *
Allergies *
Other *
Please provide details of any other condition that may affect your child's yoga practice
Your answer
Permission
I give permission for my child to be photographed or videotaped while participating in the yoga class. The photographs will be the property of All You Yoga. I understand these photos may be used in public relations and marketing, this may be on All You Yoga website, facebook page or leaflets. *
I will remain nearby the venue for the duration of the class. *
Required
Date *
MM
/
DD
/
YYYY
Submit
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