Another Journey Begins SUP YOGA Health Questionnaire & Waiver
To be completed before attending any SUP Yoga Sessions with Another Journey Begins.

All information given will be treated in the strictest confidence and stored in accordance with Data Protection legislation.

When participating in any SUP Yoga session with Another Journey Begins there is always a possibility of physical injury, and not all postures are suitable for everyone. Please listen to your body and respect your range of motion, considering pre-existing conditions or injuries. Another Journey Begins is not liable for any injury or accident to any individual participating in a SUP Yoga session or adopting the modifications suggested. Should your medical/physical conditions be such that they may affect your performance or participation in an activity, it is your responsibility to make the relevant person aware, i.e. your instructor on the day or prior notice via this form.
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First Name: *
Last Name: *
Date of Birth: *
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First Line of Address including house number *
Town: *
County: *
Postcode: *
Contact Telephone No: *
Email address: *
Emergency Contact Name: *
Emergency Contact Telephone No:  *
Booking Details: *

I do not wish to declare medical information

By ticking this box, you can ignore the next section entitled Medical/Physical declaration and move onto the rest of the questionnaire.  You confirm that you will take responsibility for your own health and safety whilst participating in our event.

Medical/Physical declaration


Whilst SUP Yoga may be practiced safely by most people, there are certain conditions which require special attention. If you are unsure about participating, please consult your GP before commencing class. Please tick the boxes below if you have any of the following medical conditions and please give details in the space provided. Please feel free to discuss anything further with your instructor either before the day or at the session safety briefing.

Neither your teacher/Another Journey Begins are qualified to express an opinion that you are fit to safely participate in any session hosted by Another Journey Begins. You must obtain professional/specialist advice from your doctor before participating if you are in any doubt.
Have you had/do you have any of the following?
Other illness/disabilities/conditions we should know about or further information based on answers given above - please provide here:
We will offer modification where possible for all postures.  This medical/health information may get passed onto emergency services in the event of an incident if necessary.
I can swim 25m unassisted
We reserve the right to refuse participation/use of equipment due to medical information disclosed if felt necessary or will offer modifications where possible.  
Photographs
Please note that photographs may be taken during the activity and may be used for publicity and marketing purposes.  Please indicate below if you DO NOT wish to have your photograph taken/used.
Equipment Hire *
How did you hear about us? *
Required
Data Protection

In order to comply with the General Data Protection Regulations, it is necessary to check whether or not you are happy for Another Journey Begins to retain your contact details and to email you information we think will be useful to you, including workshops/events and relevant updates. We only hold information where necessary for us to carry out our work and when you have given us permission to do so.  To ensure that we only communicate with you in the manner of your preferred choice, can you please indicate below your preference(s) or otherwise, when contacting you. 

Please note that you are able to amend these choices at any time unsubscribing or by contacting us.

Means of Communication
Terms and Conditions
  • I agree that all the information I have supplied is to the best of my knowledge, true and correct.
  • I recognise and understand that this activity is a potentially dangerous activity and I participate at my own risk.
  • I understand and accept that misuse of any equipment is likely to result in serious personal injury or death to others and/or myself.
  • I understand and accept that at the instructor's discretion the session may be rescheduled at short notice due to inclement weather.
  • I certify that to the best of my knowledge; I do not suffer from a medical condition which might have the effect of making it more likely that I be involved in an accident which could result in injury to myself/others.
  • I confirm that if any of the above information changes I will notify the instructor/Another Journey Begins, including poor/under par health on the day of the activity.
  • I understand that while Another Journey Begins' instructors will take all reasonable care of the participants and unless they are negligent, they cannot be held responsible for any loss, damage or injury suffered arising during the activity attended.
  • I have had the chance to ask questions and am fully informed about the session I'm attending.
Final declaration

I have read, understood and agree to abide by these terms and conditions.

Please print your name below as your signature:
 *
Date of Completion: *
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