Please take just a few moments to fill out the following registration form.

Previous Yoga experience is not necessary.

Answers to the following questions will help us assist you in your practice so you get the most benefit and remain comfortable throughout the sessions.

(All information you provide will remain confidential)
 
Name

Address: (Optional)

Telephone 
Mobile
Email
Are you currently doing any sport or type of exercise?
Yes
No
If YES which?

Why have you come to Yoga and what do you hope to
gain from it:
Have you done Yoga before?
Yes
No

If yes, how long have you been practising for:

What style:
Have you ever practiced Pilates/Tai Chi/etc?
Yes
No
If YES which?
Are you currently taking any form of medication?
Yes
No

If yes, please give details:

Please give details of any medical conditions which
might affect your Yoga practice:

Have you suffered any injury or undergone any surgery (i.e. caesarean section, knee surgery, etc) which might affect your Yoga practice? If so, please give details,

How did you hear about the class?:

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