New Yogi Information Form

Welcome to Yoga with Jo!

Thank you for choosing me. Before we begin, I need to explain some boring legal stuff to you…

Information is strictly confidential and will only be used to ensure you have a safe and meaningful experience with me. This information may be shared on a need-to-know basis with emergency services professionals. It will not be shared with any other external parties or used for external marketing purposes (Note: I will send email updates).

Please confirm that you are okay with me using your information for the above: *

Finally, I will do my best to ensure this form is kept safe and sound! Now, back to business…

What is most important to you in a yoga practice?

Do you have any of the following conditions? If yes, please provide further details.

High blood pressure *
Low blood pressure/fainting *
Arthritis *
Diabetes *
Heart problems *
Depression *
Epilepsy *
Asthma *
Recent fractures/sprains *
Eye problems *
Recent operations *
Back problems *
Knee problems *
Neck problems *
Covid-19/contact with *
Pregnancy (current/recent) *
Do you have any other conditions which affect your mobility or are likely to cause you concern when doing Yoga? *

Declaration:

I confirm that I have read the information on this form and agree with how my information will be used. *
I have answered the questions in full honesty to the best of my current knowledge. *
I take full responsibility for my health during the yoga classes, including any injuries. *
I will inform you of any medical changes. *

And finally, I promise to have fun!