Seated Yoga

Seated Yoga Registration
Seated Yoga classes are designed for all ability levels and will be taught primarily in the seated position. Optional standing poses will be offered as well as a variety of modifications to accommodate varying abilities. This class will guide you through gentle yoga postures, movement sequences, stretching, breath work and guided meditation to help you focus clearly, de-stress, move mindfully and practice gratitude. Classes are held in-person at Gaylord in Wallingford or virtually via Zoom.

Classes with be held on Thursday evenings from 6:00-7:00PM on the following dates:

Jan 8, 2026

Jan 22, 2026

Feb 5, 2026

Feb 19, 2026

March 5, 2026

March 26 2026
I would like to register for the Seated Yoga Class Series*

YesNoPlease indicate if there are only certain dates you can attend:
I plan to attend classes:*

In-person at Gaylord in WallingfordVirtually via ZoomOther
Participant Information
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Date of Birth*

MonthDayYear
What is your gender?*

MaleFemaleI prefer not to answer
Are you a Veteran?*

YesNo
How would you best describe yourself?*

WhiteAsian (Origin: example Chinese; Indian; Afghan; Filipino; Iranian; etc.)Black/African AmericanAmerican Indian or Alaska NativeNative Hawaiian or other Pacific IslanderPrefer not to answerOther
Are you of Hispanic/Latino/Spanish origin?*

No, not of Hispanic, Latino, or Spanish originYes, I am of Hispanic, Latino, or Spanish (Origin: example Mexican, Puerto Rican, Cuban, Dominican, Colombian, Spaniard, Ecuadorian, etc.)
Sports Association Membership
Have you participated in a Gaylord Sports Association Program in the past?*

YesNo
If you are not a member of the Sports Association, or have not participated in a program in the last 3 years, please complete a member profile as part of your registration. Click here to complete profile. Please complete liability waiver and media release when linked to the page.

Following completion, return and complete this Seated Yoga Series form.
Program Registration
Have you participated in yoga classes in the past?*

YesNo
Are you interested in trying standing yoga poses using a chair for balance?*

No, I plan to participate from a seated positionYes, I am interested in trying some standing posesI am not sure
What are your goals for participation in this program?*
Please make any additional comments about modifications you may need during these classes or any questions that you may have. We will communicate this with our yoga instructor.
Medical Information
What is your primary diagnosis?*

Spinal Cord InjuryTraumatic Brain InjuryMultiple SclerosisStrokeAcquired Brain InjuryAmputeePTSDSpina BifidaVisual ImpairmentOther
Please add any additional information about your disability, medical history or specific needs (for example, level of spinal cord injury, type of visual loss or any paralysis and where):
How often do you currently exercise or participate in sports:*

Once per week2-4 times per week5-7 times per weekI do not currently exercise on a regular basis.Other
What types of exercise or sports do you participate in?
Are you cleared by a Doctor to participate in a fitness program?*

YesNo
Are you able to get a Doctor's note if needed to participate in this program?*

YesNo
How did you hear about this program?*

Email from the Sports AssociationGaylord Employee/Gaylord TherapyInternet SearchOther
Do you have any questions or additional information you would like to share?
Acknowledgment
By submitting this form, I verify that the above information is current and accurate. I understand that the above information will be kept confidential. In order to provide a safe and fun experience your information may be shared with: (1) Sports Association staff, coaches or instructors (2) other adaptive sports programs who will be working with you (3) medical professionals in case of emergency (4) as required for Sports Association grant reports. I understand that it is my responsibility to inform the Sports Association regarding changes to my: (1) contact information such as address, phone and email; (2) medical status including new diagnosis, surgery or medical changes; (3) any other information that is relevant to the safety of myself or others regarding my participation in Sports Association programs. All participants are required to complete an annual liability waivers and media release(optional) prior to participation in Sports Association events. You will be taken to the waiver forms after submission of registration.
Should be Empty:

Seated Yoga Registration

Participant Information

Sports Association Membership

Program Registration

Medical Information

Acknowledgment