Which class are you interested inSculpt and Stretch Workshop 15/03
Do you have children:YesNo
If yes, how old are they
Are you currently breast-feeding:YesNo
Have you done Yoga before?YesNo
Have you done Restorative Yoga before?YesNo
Have you done HIIT training before?YesNo
Do you currently do any physical activity:YesNo
If yes, what kind
What would you like to gain through the workshop
Have you suffered any injury or undergone any surgery (i.e. knee surgery) which could affect your practice? If so, please give details, thank you
Do you currently experience any of the following. Tick any relevant symptomsTirednessSleep disturbancesAnxiety / DepressionAching groinsAnaemiaDiabetesLower Back PainSciaticaVaricose VeinsDiastasis recti
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor:YesNo
Do you feel pain in your chest when you do physical activity:YesNo
In the past month, have you had chest pain when you were not doing physical activity:YesNo
Do you lose your balance because of dizziness or do you ever lose consciousness:YesNo
Do you have a bone or joint problem (e.g. back,knee or hip) that could be made worse by a change in physical activity:YesNo
Is your doctor currently prescribing drugs e.g. water pills for your blood pressure or heart condition:YesNo
Do you know of any reason why you should not try physical activity:YesNo
If you answered YES to any of the above questions, then you are required to talk to your doctor by phone or in person BEFORE participating in the workshop. You are advised to DELAY participation if you feel unwell or have a temporary illness. You must inform your fitness professional of any changes to your health status.:
Do you have any allergies or dietary requirements:YesNo
How did you hear about the class?
Would you like to keep in touch with Marylines news of classes, workshops, audio and video material. If yes, we'll add you to our mailing list. Your details won't be shared with anyone else.YesNo
Responsibility for my healthBy ticking this box I declare that as far as I am aware, I have disclosed to YogaSpirits all information regarding my health (and the health of my baby/ies) relevant to the practice of yoga and/or meditation. I take full responsibility over the health of myself (and my baby/ies) in the yoga sessions (face-to-face or online) and for all applications of yoga I may practice outside the classes both now and in the future. I understand that any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk. Should there be any medical changes I will consult my doctor and inform Maryline as my yoga teacher
Covid 19By ticking this box I declare that I have read, understood and agree to abide by YogaSpirits Covid-19 policy and any updates as advised (link in website footer) I confirm that I attend classes entirely at my own risk and I hereby release, waive, discharge YogaSpirits from any and all liabilities, claims, demands, actions, and causes of action whatsoever, directly or indirectly arising out of or related to any loss, damage, injury, or death, that may be sustained by me (or my baby/ies) related to COVID-19 while participating in any YogaSpirits activity that may lead to unintentional exposure or harm due to COVID-19.
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