Email Address *

Phone number *

Emergency contact name and phone number *

Please give details of your yoga experience, if any... *

Do you participate in any other physical activity? Please give details... *

The following information is required to ensure your safety. Whilst yoga may be practised safely by the majority of people, there are certain conditions which require special attention. If you are unsure please consult your GP before commencing class. If you have any of the following medical conditions please tick them below…

abdominal disorder or recent surgery

arthritis (osteo or rheumatoid)

back pain (if known cause please state)

knee problems

hip problems

shoulder or neck problems

heart disorders

high blood pressure

low blood pressure asthma

diabetes

auto-immune disorder (e.g. M.E. M.S. Lupus etc)

epilepsy

anxiety/depression

sensory disorder affecting eyes or ears

balance affecting disorder

other (to be discussed with tutor)

Are you /could you be, pregnant, or have you given birth in the last six weeks? *

Please give details of any injuries - old or recent - that could impact your ability to practice yoga...

Please tick the box below to confirm that the information you have given in this form is accurate, and that you understand it is your responsibility to check with your doctor if you have any difficulties or concerns about your ability to participate in a yoga class, and that you are responsible for notifying me if any of this information changes. *

I confirm the information is correct

Please check the box if wish to be added to my newsletter in order to keep up to date with all of the latest news and events.

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Pre-booked Classes must be paid for in advance. Bookings are subject to a 24 hour cancellation policy when either cancelling or rescheduling. Unfortunately classes cancelled within 24 hours will be subject to a charge, this is due to a small class size and limited space. However in the instance of yoga classes, if someone on the wait list that can take your place, I will provide the option to reschedule your booking for another class, subject to availability. Classes must be cancelled via email or phone and I will confirm receipt. Please tick the box to confirm you have read and understood this cancellation policy. *

I understand the cancellation policy

By submitting this form you confirm you have read and accepted our terms and conditions, including the cancellation policy, and that you accept that Lauren Barber is not liable for any injury, or damages, to person or property, resulting from the taking part in this yoga class. *

I agree to these terms

Prior to attending your yoga class, or Private Yoga One-to-One please fill out the details below and submit this form. You can read my privacy policy here. If you have any queries or concerns please contact me at lauren@laurenbarber.co