Course Enrolment Form

Enrolment Form

Trauma Sensitive Yoga & TRE with Kendra
These pre-screening questions are offered to support both your safety and comfort, and to help us work together respectfully. You are welcome to share as much or as little as feels right for you. Your responses are completely confidential and will only be read by Kendra.

Returning participants please forward to payment and fill in any updated medical changes :)
Name*

First NameLast Name
Email for newsletter and communication*
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Phone Number*
Please enter a valid phone number.
NDIS or concession card no.
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Do you have any specific health goals or reasons for enrolling?
Have you been referred by your GP or mental health specialist? If so who?
Do you have any of the following now or in the past?

Complex or developmental traumaAutismClinical depressionAnxiety disorderPTSDHigh Blood pressureLow blood pressureHeart stroke conditionDiabetesEpilepsyArthritisAsthma or breathing difficultiesBack painRegular headachesAutoimmune disordersAre you pregnant or planningCancerDizzinessADHD/ADDBi-polarSchizophreniaPsychosisIrregular heart conditions (surgery, pace makers, arrhythmia)Hypo or hyperglycemia (medications)Physical limitations (brocken bones, strains, sprains, chronic aches)Other
Are you currently engaged in any physical activity?
If you’d like to share, have you found any approaches to calming or focusing that work well for you — such as meditation, relaxation practices, shaking or something else that supports your own way of settling?
Any other medical information?
If you feel comfortable sharing, have you spent time in a hospital or other care setting for mental health support in the past six months?
Do you have support from an ongoing therapist?
If yes, please include detail. We would never contact your therapist unless there is a clinical emergency. Is that ok with you?
Are there any aspects of yoga practice—such as particular poses, breathing patterns, lighting, or other elements—that you would like me to be aware of, so we can support your comfort and sense of choice?
Are you currently taking medication on a regular basis?
Which classes/courses are you joining? All classes are trauma sensitive.*

Wednesday 5.30pm - 6.30pm Body Rhythms & Sleep,TRE & Yoga, Kingston, Closed group courseFriday 9.30am - 10.45am Rest & Resilience Kingston, Open group classFriday 11am - 12pm TRE for Sleep and Anxiety, Closed group courseFriday 5.30pm - 6.30pm TRE for Sleep and Anxiety, Kingston, Closed group course
Sliding Scale Fees (all include GST)

Our sliding scale is designed to make yoga therapy accessible while also sustaining the work.
- Supporter – Choosing this option means you’re contributing a little extra, which helps make it possible for others to attend at a lower cost. Thank you for supporting the community in this way.
- Supported – This is the standard class fee. By paying this rate, you are sustaining your own practice and helping keep the program steady.
- Concession – Available for concession card holders or anyone who needs a reduced rate at this time.
Please process your payment prior to attending each casual class.
Choose your course/class*
If creating your own yoga therapy term, please specify which dates you intend to attend and pay for - $35 per class or $30 concession.
Please transfer your payment today to confirm your booking, to;

Kendra Boone BSB: 313 140 Account: 124 280 98

Please note your name and preferred class/course on the payment description.
Acknowledgement & Consent

To the best of my knowledge, I do not have a medical reason that would prevent me from participating in online or face-to-face Yoga Therapy classes. I understand that reasonable safety precautions will be taken during classes. I choose to take part at a level and pace that feels right for me, and I accept responsibility for my own wellbeing, including any injuries that may occur while participating.

Participation Agreement & Ways of Being Together

At Kendra Healing Arts, my intention is to create a safe, flexible, and inclusive space for yoga therapy. These guidelines honour both the practical commitments of attending classes and the trauma-sensitive principles that shape how we are together.

Our Shared Commitments
- Healing grows through safety, connection, and compassion.
- Choice and agency are central.
- You are always invited to decide what feels right for you in any practice.
- We value interoception (your inner felt sense) over perfection or performance.
- Non-coercion and invitational language guide all classes.
- Silence, rest, and stepping back are as welcome as participation.
- All bodies, identities, and ways of learning are respected.
- We affirm that Autism, ADHD, and other forms of neurodiversity are natural variations of being human.
- We acknowledge the impacts of collective trauma (racism, sexism, colonialism, classism, ableism, and more), and aim to reduce harm and micro-aggressions wherever possible.
Attendance & Fees
- Classes follow a progressive program, usually in 8–10 week terms. Regular attendance helps your practice deepen.
- A sliding scale is offered: choosing a Supporter rate makes Concession rates possible. Everyone is welcome to select the level that feels right for them.
- Payments are made at the start of term (bank transfer or cash). Payment plans are available.
- If you cannot attend a prepaid class, you may transfer to another class in the same week (subject to space).
Missed & Cancelled Classes
- Refunds are not offered for missed classes or early cancellation.
- You may transfer your enrolment to another person if you cannot continue.
- If I cancel a class, I will do my best to provide a make-up session.
Course Fees
- Payment plans can be requested and need to be paid in full before course completion.
- If you are unable to attend part of the course refunds will not be offered.
- In cases where illness occurs, a credit for next course may be issued apon application.
Class Cancellations
- Occasionally classes need to be canceled on short notice. All effort will be made to provide a make-up class after the term.
Confidentiality & Care
- What you share in class is treated as confidential, except where there are legal or safeguarding concerns.
- I will provide referrals if your needs extend beyond what yoga therapy can support.
- Classes are offered without prejudice toward sexual identity, gender identity, culture, race, spirituality, physical or cognitive ability, or age.
  Ongoing Reflection
- As a trauma-aware facilitator, I acknowledge that change is constant. I commit to reflecting on my actions and revising my approach where needed, so that this space continues to be supportive, inclusive, and responsive.
By participating, you are agreeing to honour these guidelines, care for your own wellbeing, and contribute to a collective space of respect and compassion.

Kendra Boone
Internationally Certified TCTSY Facilitator
Internationally Certified IAYT Yoga Therapist
Internationally Certified TRE® Facilitator
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