Online Private Yoga Classes

I would like to book private yoga session:*

Preferred Dates/Times*

Name*

Address*

Suburb*

State/Province*

Post Code*

Country*

Email*

Confirm Email*

Telephone/Mobile*

Date of Birth

I have previous experience in Yoga or Pilates*

no
yes
I'm a movement professional

Safety and Accessibility

Do you have a medical or physical condition that could be made worse by a change in your mental or physical activity?

Do you require accessibility information or support (closed captioning, read aloud materials)?

Do you have any movement restrictions/are there any poses that are not safe for you to practice and/or require modification or adaptation for your safety?*

Your Practice, Aims & Intentions

Tell us what you hope to gain from your your practice and/or how can we support you in your practice?*

How did you learn about our Virtual Studio?

ParQ and Informed Consent

Please tick if you answer YES to any of the following questions:

Has your doctor ever told you that you have a heart condition AND that you should only do physical activity recommended by a doctor?
Do you feel pain in your chest when you do physical activity?
In the past month, have you had chest pain when not doing physical activity?
Do you lose your balance because of dizziness, or do you ever lose consciousness?
Do you have a bone or joint problem that could be made worse by a change in your physical activity?
Is your doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?
Do you know of Any Other reason why you should not do physical activity?

I have been informed, understand and am aware that mind-body movement activities, including yoga, Pilates, and Thai yoga massage are potentially hazardous activities. I also have been informed, understand, and am aware that movement activities involve a risk of injury, and that I am voluntarily participating in these activities and using equipment with full knowledge, understanding, and appreciations of the dangers involved.

I have been informed and I consent to undertaking movement activities with an awareness of the risk involved, and I agree to modify or withdraw from any/all activities that cause/may cause discomfort

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Online Private Yoga Classes