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Yoga Health Registration Form

    All information given will be treated in the strictest confidence and stored in accordance with Data Protection legislation.







    Please answer all the questions below. The following information is required to ensure your safety. If unsure, please consult your GP before attending class.

    Medical Conditions (tick all that apply)

    Abdominal disorder or recent surgeryArthritis – osteo/rheumatoidBack pain/problemsKnee problems OSTEOARTHRITISPregnant or given birth in the last 2 years?Hip problems (BURSITIS)Shoulder or neck problemsHeart disordersHigh blood pressureLow blood pressure

    These conditions may affect your practice, so provide information for yoga tutor:

    Additional Health Information (tick all that apply)

    AsthmaDiabetesAutoimmune disorder M.E/M.S/LupusAnxiety/DepressionDisorder affecting eye/earEpilepsy



    Are you taking any form of medication that may affect your yoga practice?

    YesNo

    If YES please seek advice from your doctor or other health professional before starting to practice.

    Yoga Experience (please select)

    Complete BeginnerPrevious experience but long gap since last attended – How long?Regular class(es) at least 12 monthsHome PracticeFoundation Course/student teacher/teacher

    Main Reason for Attending Yoga Classes

    ExerciseFlexibilityRelaxationPain ReliefStress ReliefMeditationWeight LossSpiritual practice


    Declaration: I confirm the above information is correct. I understand it is my responsibility to:

    • Check with my doctor if I have difficulties about my ability to participate in yoga class

    • Advise tutor of any change in medical information

    • Follow advice given by my yoga tutor

    All personal information will not be shared or sold and will be for the sole use of Craigsfarm Community Hub. I give permission to Craigsfarm Community Hub to use photographs obtained during classes, workshops, and events as part of public display, including website and print publications.

    Data Protection: Craigsfarm Community Hub complies with UK data protection law and internationally accepted standards. For a copy of the Privacy Policy, contact info@craigsfarm.org.uk.





    I would like to receive information and updates on Craigsfarm Community wellbeing + resilience programme activities and events


    Join Our Community

    The work of the Craigsfarm Community Development Project is made possible through the commitment of our team, partners, and community members. If you would like to learn more about our programmes, get involved, or access support, we welcome you to connect with us and become part of the Craigsfarm community.

    Contact Us