Registration

Please register your intention to attend a body flow class by registering your details here below.

All information is treated confidentially.

First Name:
Last Name:
Email Address:
Mobile Number:
Other Contact No.:
Address:
City:
Post Code:
Date of Birth:

Intended Class:

Please select below if you have any of the following conditions
High blood pressure
Back pain
Diabetes
Heart conditions
Low blood pressure
Epilepsy
Headaches
Asthma
Knee problems
Anxiety
Arthritis
Osteoporosis
Other injuries

If you selected any of the above, please provide further details here:

Please provide details of any physical movements or illnesses that cause you difficulty or pain:

Please provide any further details or comments which may help body flow yoga structure classes to your needs:

Where did you here about us:

If you selected 'other' , please provide further details here:

Payment option:

* Body Flow Membership must be paid monthly in advance by direct debit only.

Agreement

I acknowledge that body flow yoga will provide classes requiring both physical and mental exertion on my behalf. I will at all times operate to my own levels of exertion, taking particular care of any injury or complaint that I carry when participating.

I acknowledge that yoga is a physical and dynamic practice that requires both mental and physical focus in order to avoid potential injury, and that injury and soreness are a real and material risk in every class.

I will always keep the body flow yoga instructor informed of my comfort levels and will immediately cease any activity if I become uncomfortable with my condition.

I acknowledge that body flow yoga is merely providing guidance based on the experience and education of its team, and in no way do they claim to be medical practitioners.

It is my responsibility to decide whether or not to follow the advice and guidance given by body flow yoga, and in no way do I hold body flow yoga responsible for any injury or soreness acquired while undertaking the yoga activities.

I hereby commit that the information that I have provided is accurate and fully reveals the nature of my state of health as of the date of this document. In addition I undertake to continuously inform the body flow yoga instructors of my health status whilst attending the yoga classes.

I consent to receive regular email contact from body flow yoga. I understand that my personal information will not be shared with any third parties.

I agree to the statements above.