Disclaimer Form

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Please read carefully, and tick Yes to agree* This field is required.Welcome to your kundalini Yoga class. I invite you to approach your practice with enthusiasm, but please take care, you know your own body and I ask that you determine your own ability with any posture, please don’t aggravate an existing injury, be mindful of yourself and your limits and listen to your body. Please tell the teacher if you have any pre-existing injury or health conditions. If you have any doubts that yoga coulisd exacerbate any injuries, please consult your Doctor or health professional. Kundalini yoga and alcohol (and recreational drugs) do not mix, so you are asked to refrain from these practices if you are coming to a class. Women on the heaviest days of their period are asked to refrain from doing Breath of Fire, and also any postures which may put pressure on the abdominal area or suspend the breath in any way. If you have any queries about Kundalini Yoga, please contact me on email Connor.kundaliniyoga@yahoo.com or via my instagram or facebook Thank you. Please complete the following questionnaire and confirm that you have read and understood this guidance. I confirm that I am 18 years or over and that my physical, mental and emotional health is stable, that I am not currently under medical supervision (If you are, please give details below) and that I will inform the teacher if these circumstances change. I confirm that I have carefully read the information and disclaimer form and agree to take responsibility for my own health and wellbeing.

YESNO

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Enter your name * This field is required.

First Name

Last Name

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Where are you from?

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Date of birth* This field is required.

Date

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Email* This field is required.

example@example.com

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Do you give permission to be put on the email list to receive content from about the class?* This field is required.So I can send updates on classes and events.

YESNO

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Where did you hear about these classes?

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Have you practised kundalini yoga, or any other form of yoga before?

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What is your level of fitness?

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Why have you chosen to practice kundalini yoga? What benefits are you hoping to achieve?

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Do you have any experience in meditation?

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What would you like to focus on in these classes?

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How do you like to relax? And how often do you relax?