Prenatal Registration Form | Hidden Roots Yoga

Prenatal Registration Form
Please only fill in when you have booked onto a class/course.

All information given will be treated in the strictest of confidence. Leave out any questions you would prefer not to answer, bearing in mind that the answers given help to insure that the class is suitable and appropriate for the attendee.

Full Name

Telephone Number

Your email address

Date of Birth

Number of weeks pregnant & Guess Date

Any details of your pregnancy, or your situation you would like to disclose?

What are you hoping to gain from this class?

Client Declaration
As far as I am aware, I have disclosed to my yoga teacher all information regarding my health relevant to the practice of yoga during my pregnancy.
I take full responsibility for all applications of yoga I practice in the class and outside the class during my pregnancy.
I fully understand that the recommendations, ideas or techniques expressed and described in these
pregnancy yoga classes cannot be regarded as a substitute for the advice of qualified medical practitioners.

Any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk.

Do you agree to the client declaration? Required

Yes

Do you give consent to pictures/videos taken in the classes to be used on social media or for marketing purposes? Required

Yes

Thank you

Thanks for submitting! I will be in touch shortly with details of how to prepare for class. I look forward to seeing you there!

Prenatal Registration Form Please only fill in when you have booked onto a class/course.

Prenatal Registration Form
Please only fill in when you have booked onto a class/course.