Before you begin

Client Health
Declaration

Please complete this short form before your first class and review it annually. Your answers are held in confidence and help us keep your practice safe.

Personal Details
Please enter your full name.
Please enter your date of birth.
Please enter a phone number.
Please enter a valid email address.
Emergency Contact
Please provide an emergency contact name.
Please provide an emergency contact number.
Health Declaration

Please answer each question honestly. Select Yes or No — a details box appears where needed.

Do you have any current or ongoing health conditions — for example a heart condition, diabetes, asthma, epilepsy, or any other diagnosed condition?
Are you currently taking any prescribed medication or regular supplements?
Have you had any surgery, significant procedure or serious injury in the last 12 months?
Do you have any back, neck, joint or muscle problems that may affect your practice?
Are you currently pregnant, or have you given birth in the last 12 months?
Has a doctor ever advised you not to exercise, or to exercise with caution?
Is there anything else you feel your teacher should know before you participate?
Please answer all seven health questions above.
How we use your information (UK GDPR): This information is collected solely to support your safe participation in yoga. It is stored securely, will not be shared with third parties without your consent, and will be retained for three years after your last class before being securely destroyed. You have the right to access, correct or request deletion of your data at any time by contacting us directly.

Declaration

  • I confirm the information I have provided is accurate and complete to the best of my knowledge.
  • I understand it is my responsibility to inform my teacher of any changes to my health before a class.
  • I will tell my teacher immediately if I experience any pain or discomfort during a class.
  • I accept personal responsibility for my participation and understand that yoga involves physical activity with an inherent risk of injury.
I have read and agree to the declaration above. *
You must agree to the declaration to submit this form.
Please check the form — some required fields are missing or incomplete.