Virtual Yoga Coaching

I would like to register for:*

Course Location*

Preferred Date/Time*

Name*

Address*

Suburb*

State/Province*

Post Code*

Email*

Confirm Email*

Telephone/Mobile*

My professional registration

none
yoga teacher
fitness instructor
personal trainer
massage practitioner
other

I am currently registered with

Yoga Alliance
Yoga Australia
Fitness Australia
ACE
Other
N/A

What is your usual occupation?

Your Session Aims & Intentions

Share a few details about your teaching practice ie: duration, style of practice etc*

Share a few details about your aims for coaching sessions (develop your personal practice, teaching skills, business coaching, specific study areas, directions for study):*

How did you learn about us?

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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Your Session Aims & Intentions

ParQ and Informed Consent