Registration & Health Information

Please complete this prior to your first class. All information will be treated with the strictest confidence and stored in accordance with data protection legislation.

Please complete all fields:

First Name

Last Name

Email

Mobile

Emergency Contact Name & Mobile

Have you attended a yoga class before? If yes, how long have you practised yoga?

Main reason for practising yoga

Further Info

By checking this box and clicking Submit, I confirm that all of the above information is correct and that I have read and understand the Waiver Information below.

Thank you for providing this information. Lisa x

Waiver Information

I confirm that the above submitted information is correct.

I understand that it is my responsibility to check with my doctor if I have any difficulties or concerns about my ability to participate in the yoga class.

I understand that it is my responsibility to advise my yoga teacher of any change in my medical condition.

I understand that, during a yoga class, should I feel any discomfort, strain or pain I should gently come out of the posture and rest.

I accept that neither the yoga teacher nor the hosting facility are liable for any injury or damages to myself resulting from the taking of the class.

I confirm that I am happy to be added to the Lisa Hands Yoga database and contact list and I am happy to be contacted by Lisa via email about yoga classes and related news.

Lisa Hands Yoga

07932 637896
lisa@lisahandsyoga.com

Yoga Teacher Chelmsford, Essex

Registration & Health Information

Please complete all fields:

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