Your name (required) Your e-mail (required) Your adress (required) Your city (required) Your post-code (required) Your phone (required) Why are you interested in yoga and what do you want to gain from your practice ? What is your previous experience with yoga: None – I am new to yogaOccasional – at least once a monthFrequent – at least once per weekReturning – stopped and am restarting Medical information : Arthritis *Diabetes - hyper or hypo tensionGlaucoma - or any other eye conditionNeck or back pain *Knee or joint pain *Heart disease or chest painHeadaches or migrainesEpilepsyNo health issues * Please Specify: Recent surgery or any other issues or concerns you would like to advise your teacher – please describe: By ticking this box and submitting this form I agree to the following : I have sought qualified professional advice on my ability to participate in the classes. I have advised the teacher or injuries or relevant conditions on this form. Should I have new conditions or injuries, I mut advise the teachet. I commit to listen to my body's cues, working at a place that is comfortable for me and to pause when I feel I need them. It is important that I fully take responsibility for myself during the classes. All information is strictly confidential and will only be viewed by the teacher.