Beginner Friendly Yoga registration
Class Times: Thursdays 7-8p 
April 24 - May 29
Contact us at (403) 380-8660 or theselfcare@gmail.com
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First & Last Name *
Phone Number *
Email *
Pre Existing Health Concerns *
Required
Other relevant Health Details: Please share anything that may be notable or helpful about your health concerns and history with your instructor
I acknowledge that there is a risk with participating in physical activities and that I am assuming all risk of injury to myself, as my participation is voluntary *
Required
I agree to inform my instructor (Erin) of any conditions or changes in my health at any time that might affect my ability to exercise safely *
Required
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *
Required
Do you feel pain in your chest when you do physical activity? *
Required
In the past month, have you had chest pain when you are not doing physical activity? *
Required
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Required
Do you have a bone or joint problem (for example: back, knee, or hip) that could be made worse by a change in your physical activity? *
Required
is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or a heart condition? *
Required
Do you know of any other reason why you should not do physical activity? *
Required
Yes to one or more questions: 
talk to your doctor by phone or in person before you start becoming more active and adding yoga into your weekly life, find out which activities are safe and helpful for you, please communicate to your instructor that you have answered Yes to one or more questions.
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