New Student Registration Name* First Last Phone*Email* Occupation* Gender* Male Female Birth Date* DD slash MM slash YYYY Date of Registration* DD slash MM slash YYYY Are you pregnant? Yes No I am not sure At what stage are you?Trying to Conceive1st Trimester2nd Trimester3rd TrimesterPost NatalHave you done Yoga before?* Yes No I am not sure Do you have any known health conditions which may cause you difficulty Or pain?* Yes No I am not sure Please specify.Do you have any limiting medical conditions that should be disclosed?* Yes No I am not sure Please specify.I accept Privacy Policy* Yes No Our full Privacy Policy can be found here.Would you like to receive our newsletter and workshop information?* Yes No Our full Privacy Policy can be found here. I understand that the instructions given throughout the classes are intended as guidance for my personal yoga sessions only. To ensure that no personal injury occurs, I agree to adjust my practice according to my limitations and the decision to perform yoga postures remains mime. I hereby assume full responsibility for my practice of yoga, and I further assume any and all risk of bodily injury, or property damage I may sustain, whether due to negligence or otherwise. I will notify my instructor before each class begins of any recent injury, illness, surgery or pregnancy. I recognize that the classes may require certain postures that require exertion and may cause injury – I am fully aware of the risks involved. I agree that I am in proper health and am able to perform all postures and exercises. I will not hold the ISHTA School of Yoga & Health or its instructors to any higher standard of care than that applicable to a school of yoga practice. I understand that I need to pay for each yoga session attended. I have read, understand and voluntarily signed this agreement. I sign this agreement of my own free will. Δ
