Health Form

Please fill out the form below before undertaking any Grow Yoga classes.

Full Name

Phone Number

Emergency Contact

Emergency Contact Phone Number

Have you practised yoga before?

Yes No

If yes, for how long?

Please let us know about physical or mental helath conditions, surgeries, pregancy or any other relevant information here.

I confirm I understand that yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a doctor prior to beginning any activity program, including yoga if necessary. I recognise that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the extent of strain or pain. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class. I confirm that I have given my personal details for the teacher’s use in connection with the class and consent to the storage of these details for at least 10 years (we are unable to provide any class without your consent). I confirm that you may retain this information so that you can contact me again in the future. If under 16, I accept that this yoga class is not a child/teen specific class (unless specified) and am happy for the above named child to participate. Those under 16 years of age must have this form confirmed by a parent or guardian. *

Full Name

Please fill out the form below before undertaking any Grow Yoga classes.

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