Borough Green Yoga
Introduction to yoga course - registration form
Course details:
When: Wednesdays 8:30 - 9:30pm, 20th June to 18th July 2018
Where: Borough Green Parish Church Hall, Quarry Hill Road
To book your space on the 5 week introduction to yoga course, simply fill out and submit this form. Details of booking terms can be found in the last three sections of the form.

Privacy statement: Your information is kept confidential and used only for the purposes of understanding your needs as an individual during the course and to reach you in the event of class changes or cancellations.

Name *
Your answer
Town/village *
Your answer
Phone number *
Your answer
Email *
Your answer
Date of birth *
Your answer
Emergency contact name
Your answer
Emergency contact phone number
Your answer
Do you have any experience with yoga? *
Required
If you answered yes in the question above, please provide further detail
For example: how long you practised for, roughly how long ago, the style of yoga if you know
Your answer
How did you hear about the course? *
We require advanced payment for the course. Please confirm your preferred method of payment *
Details of how to proceed with payment will be emailed to you after submitting your preference
Medical background
Are you affected by any of the following? *
Required
If you answered yes to any of the above, please provide details here:
Your answer
Are you currently on medication?
If you answered yes, please provide details here:
Your answer
Please describe any other health or medical condition that will be helpful for your yoga teacher to know about
E.g. any other injuries, recent pregnancy or operations?
Your answer
Please use this space to ask any questions you may have or note any concerns relative to your participation in the course:
Your answer
Your wellbeing
You are responsible to make your yoga teacher aware of any medical conditions or physical concerns you may have in general and anything that has changed on the day of your class. Julie will offer guidance and accommodations based on this knowledge. It is your responsibility to keep yourself safe and injury free. Please listen to your body and respect it. Use your own wisdom and knowledge of your body to make adjustments during your practise and decide what's right for you. This is your practise and is intended to benefit you and address your particular needs.

You are advised not to undertake physical activities without first seeking medical advice. In particular, if you have low/high blood pressure and/or cardiac irregularities you should obtain confirmation from your doctor before attending class. If you have any doubts about the suitability of yoga, you should refer back to your medical practitioner.

Booking policy
Spaces on the course are limited and must be pre-booked and pre-paid. Spaces are confirmed upon payment. Before committing to the course, please ensure you can attend the scheduled number of sessions to get the most out of the programme. We cannot offer refunds or rollovers for students who are unable to attend some or all of the classes on their course.

The course requires a minimum number of students to proceed as scheduled. If these numbers are not reached, the course will be cancelled and you will receive a full refund.

Thank you for your understanding.

Release & waiver of liability
I agree to the following:
1. The information I have provided on this form is complete and accurate.
2. I understand that participating in an exercise class involves risk of injury; I agree to be solely responsible for any injuries sustained by me as a result of my participation in this class or any future classes I take with Julie Morris. I am fully aware of the risks involved.
3. I understand that it is my responsibility to consult with my doctor prior to and regarding my participation in any yoga class offered by Julie Morris. I confirm that I am physically fit and have no medical conditions that would prevent me from participation in yoga classes. I assume full responsibility for any injuries or damages, known or unknown, which I might incur as a result of participating in yoga classes. I knowingly, voluntarily, and expressly, waive any claim I may have against Julie Morris for injuries or damages that I may sustain as a result of participating in the yoga classes.
Please confirm you have read and accept the above advice, policy and statements (in sections: your wellbeing, booking policy and release & waiver of liability) *
Required
Signed *
Your answer
Date *
Your answer
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