Health Declaration

Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.

First Name

Last Name

I am in good physical health to participate in yoga/pilates/physical exercise. If I have suffered an injury that required medical attention I have been cleared by my physician or physical health professional to part take in yoga/pilates/physical exercise. I undertand and take responsibility for my own wellbeing in a class, online or 1:1 session. I listen to my body and make adjustments where necessary to look after my body and stay safe. If the instructor offers advice I take responsibility and understand I choose to follow said advice of my own choosing.

Have you suffered any injuries or experienced any conditions we need to be aware of in the past or currrently including: mental, emotional and physical conditions that is relevant for physical activity and participation in a class environment. Do you take any medication or do you require anything specific in the class or online environment.

Yes

Date

Initials

I confirm that the information given in this form is true

I agree to the terms & conditionsView terms of use

Thanks for submitting!