New Student Registration Form 2023

New Student Registration Form 2023
Thank you for your interest in joining me for Yoga classes, I am really looking forward to meeting you. I'd love to find out a little bit about you.
How did you hear about Yoga2Restore?*

GoogleFacebookInstagramNextdoorPosterFriendOther
Which class(es) are you interested in attending? You can select more than one option*

Hatha Yoga (Chandlers Ford)Yin Yoga (Winchester)Chair Yoga (Winchester)Chair Yoga (Twyford)
What would you class your experience in yoga as?*

I'm a complete beginner, I've never done any yoga beforeI've been to some yoga classes and/or practiced some yoga on YouTubeI've been practicing yoga for a few yearsGosh no idea, I seem to have been practicing for years
What style do you enjoy?*
Why do you want to practice yoga?*
Contact Details

Please be assured that the details you provide will not be shared with anyone. Your contact number is asked for in case I need to contact you urgently in the event of a class cancellation or something similar. I will not text or call you unless it is absolutely necessary.
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Emergency Contact
Emergency Contact Name*

First NameLast Name
Emergency Contact Number*
Please enter a valid phone number.
Yoga and Health Declaration Form

When attending any of my classes, it is important that you listen to your body and don’t do anything that may injure you - I don’t know what you are feeling. The practice of yoga asanas requires you – the practitioner – to gauge the safety of your practice within your personal physical limitations. It is better to build up slowly than to force and strain. Whilst one may feel exertion one should also feel relaxed. I am not qualified to teach you if you are pregnant and suggest that you look for a teacher that is qualified in that area. I would appreciate it if you would provide me with a little bit of information about yourself and let me know if you have any specific injuries that you think I should know about. I will look to provide you modifications for your practice. However, if you suffer from specific injuries or disease it is best to consult with your doctor first. It is up to you, the individual to assess whether you are ready for the class you have chosen.
Have you any medical conditions or injuries that you think I should be aware of?*

YesNo
Please can you provide more information below?*
Health and Information Declaration
By signing the below, I confirm that I acknowledge:

• That all exercise involves a risk of personal injury, and agree to take responsibility for my health and well-being in relation to your yoga classes.

• I agree that the instructor Sarah Groves shall not be liable for any injury or loss of any kind related to the participation in her chair yoga classes, nor shall the facility/location where the class takes place be liable for any such injury or loss.

• To the best of my knowledge, I suffer from no medical or physical condition or disability that will or might increase the normal risks associated with exercise and/or my doctor has approved my participation in yoga classes.

• I agree that any information, instruction or advice obtained from Sarah Groves may NOT be used as a substitute for my doctor's advice or treatment and will be used at my own risk.

I will inform you as soon as possible if:

• I suffer from any new injury, illness or other medical condition

• I feel any pain or discomfort during a yoga class or

• I feel that any exercise included in a yoga class would be unsafe or uncomfortable for me.
Signature*

Yes, I confirm I agree with the above Health and Information Declaration
Record Keeping and Booking Information
Hatha and Yin classes both need to be booked and paid for in advance. Upon completing this form I will set you up on my booking system (Bookyway) and will send you details on how to use the system (its really easy!) and also make payment.

Chair yoga classes do not need to be paid for in advance, you pay upon arrival. However, if you would like to book and pay in advance using my booking system please let me know.

All Yoga2Restore records are held secure in a digital format. Your details will never be shared with anyone else. A full privacy policy with GDPR compliance is available at www.yoga2restore.com.

Please sign below to agree that your details can be held in this way.
Signature*

Yes, I confirm I agree to my data being stored by Yoga2Restore
Newsletter
Yoga2Restore sends out a newsletter fortnightly on a Sunday morning which contains lots of information on Yoga as well as any updates on classes. We will never share, rent or sell your personal information to third parties and you can unsubscribe at any time.
Would you like to subscribe?*

Yes please sign me up for your newsletterNo Thank you, I don't wish to receive your newsletter
Thank you for taking the time to complete this form. If you have any questions, then please do not hestiate to contact me. I will be in touch soon.
Please verify that you are human*
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New Student Registration Form 2023

Thank you for your interest in joining me for Yoga classes, I am really looking forward to meeting you. I'd love to find out a little bit about you.

Contact Details

Emergency Contact

Yoga and Health Declaration Form

Health and Information Declaration

Record Keeping and Booking Information

Newsletter