PERSONAL DETAILS for YOGA
NAMASTE!
Please complete the following form, providing lots of details where prompted.
This assists me to tailor your Yoga sessions to your needs.
Information provided is confidential.
Name *
Your answer
Phone *
Your answer
Email *
Your answer
Today's Date *
Your answer
Please provide details of your Yoga experience to date? *
Your answer
Please provide details of any medical condition/s that may affect your participation? e.g.... high/low blood pressure, asthma etc., *
Your answer
Please provide details of any physical condition/ injury that may affect your participation? eg...knees / back / shoulders etc *
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What do you hope to gain from participating in these Yoga classes? *
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Personal Responsibility
The utmost care is taken for your wellbeing & safety in these Yoga classes.

It is important to listen to your own body & to realise your responsibility to adjust your practice to avoid injury.

No responsibility is taken for injuries from, or as a consequence of your participation in these classes.

I understand that I take personal responsibility for my participation in these Yoga classes. *
Please tick here to occasionally receive information about Cate’s classes via email or text
By entering your full name below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. Thank you for your time, and see you on the mat! Love Cate x *
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