07917 540260


Booking Form

Please complete the form below before coming to an open class for the first time. Once I have your details we can stay in touch via text or email or on the WhatsApp group for each class.

What are you interested in?

The person we should contact in case of emergency:

Physical Activity Readiness Questionnaire (Please read carefully):

If you select any of the boxes below you must have your doctor’s consent before you take part in any physical activity.

Please select the relevant boxes:

Has your doctor ever said that you have a heart condition and recommended only medically supervised activity?

Do you have chest pain brought on by physical activity?

Have you developed chest pain in the last month?

Do you tend to lose consciousness or fall over because of dizziness?

Do you have a bone or joint problem that could be aggravated by the proposed physical activity?

Has a doctor ever recommended medication for your blood pressure or a heart condition?

Are you aware, through your own experience or from a doctor’s advice, of any other physical reason why you should not exercise without medical supervision?

Are you currently, or have you been pregnant in the last six months?

Do you have any allergies or any other health condition we should be made aware of?

NB: The clearance to participate becomes invalid if your condition changes in such a way that you would tick any of the above boxes. You must inform us of any changes prior to taking part in any activity

Please outline any past yoga experience below:

Any other questions: