Chair Yoga New Student Registration Form 2026

CHAIR YOGA

New Student Registration Form 2026
Welcome!

Thank you for your interest in joining my Chair Yoga classes; I am really looking forward to meeting you. To help me prepare for your first class, please share a little bit about yourself below.
How did you hear about my Chair Yoga classes? (please provide as much detail as possible, eg Facebook, a friend, google etc)*
Which Chair Yoga class are you interested in joining? (you can select more than one)*

Trinity Church, Winchester - Monday MorningsJubilee Hall, Kings Worthy - Tuesday AfternoonsTwyford Community Centre, Twyford - Wednesday MorningsTrinity Church, Winchester - Wednesday Afternoons
Why do you want to practice chair 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
It is important to listen to your body and work within your personal physical limitations. Yoga requires you to gauge your own safety; it is better to build up slowly than to force or strain. Please let me know of any specific injuries so I can provide modifications.

Important: If you suffer from specific injuries or disease, you must consult with your doctor and receive their approval before participating. You are responsible for assessing your own readiness for class.
Have you any medical conditions or injuries that you think I should be aware of?*

YesNo
Please can you provide more information below? *
Declaration and Consent
By signing below, I confirm the following:

Medical & Safety: I confirm that I have shared all relevant information regarding my health and well-being that may affect my participation in class and that I suffer from no condition that increases my risk associated with exercise, or my doctor has specifically approved my participation in your classes.

Personal Responsibility: I take full responsibility for my health. I understand that Sarah is a Yoga Teacher and not a medical professional; I take full responsibility for my own well-being during the session.

Liability Waiver: Sarah Groves/Yoga2Restore and the facility shall not be liable for any injury or loss related to class participation.

Data & Privacy: I consent to my personal and health data being stored securely for the purpose of my safety in class and for Sarah Groves/Yoga2Restore professional insurance and business records. I understand that my information is kept strictly confidential and will never be shared.
Signature*

Yes, I confirm I agree with the above Declaration and Consent
Thank you for taking the time to complete this form. If you have any questions, then please do not hesitate to contact me. I will be in touch with you soon.
Please verify that you are human*
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CHAIR YOGA

New Student Registration Form 2026

Welcome!

Contact Details

Emergency Contact

Yoga and Health Declaration Form

Declaration and Consent