YOGA with EM

Please Note : A Parent or Carer are required to join the sessions

More about your child

First name

Last name

Age

Please let me know about any limitations or injuries.

Parent or Carer Full Name

Parent or Carer Date of Birth

Emergency Contact and Phone Number

* Please note all of the information on this form is kept strictly confidential

I declare that the info I’ve provided is accurate & complete

I acknowledge and understand that yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I recognise that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any postures to the extent of strain or pain. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class.

Phone

Thanks for submitting

YOGA with EM​

YOGA with EM​

More about your child

Join my newsletter

YOGA with EM

YOGA with EM