If you are new to my classes, welcome. I invite you to fill out the form below so I know your needs and can support you in your yoga and meditation practice. Once you have completed the form you will be able to book and pay for a class. If you have joined me before please log-in to your account to book a class. Your information will be stored securely, treated as confidential and not shared with anyone as per the Privacy Policy. First name: * Last Name * Email: * Phone: * Have you practiced yoga or meditation before? * Yes No What style and for how long? What is your intention for practicing yoga or meditation with me? How would you rate your overall wellbeing prior to commencing classes? * ExcellentGoodManageableChallenging Are you currently experiencing, or have you ever experienced any relevant physical injuries, illness or mental health challenges that might impact your yoga or meditation practice? * Yes No Is there anything you think I need to know in relation to the above? * Would you like to provide an emergency contact? * Yes No Name Relationship Phone Anything else that feels important you would like to share with me? Where did you hear about me? GoogleFacebookInstagramYou TubeLinkedinYoga Australia websiteMeditation Australia websiteMental Health Aware Yoga Teacher websitePoster/FlyerBusiness CardWord of Mouth Other (please specify) Where did you hear about me? I look forward to practising yoga with you soon. Health and Safety Statement: I acknowledge that sessions offered by True Equanimity Yoga include gentle physical movement as well meditation and relaxation. As is the case with any physical activity, the risk of injury, is always present and cannot be entirely eliminated. I will work within my own capabilities physically, mentally and emotionally. If I experience any pain, discomfort or distress, I will listen to my body and mind and discontinue the activity, and seek support from the teacher. Additionally if taking part in live streamed sessions I acknowledge that I have a safe environment to practice in and the equipment I need to practice safely and comfortably. I assume full responsibility for any and all damages, which may incur through my participation. I will seek the advice of my doctor or other qualified health professional before commencing sessions if I have any concerns with regards to my physical or mental health. Acknowledgement * By continuing, you accept the privacy policy I consent to regularly receive information from True Equanimity Yoga about its services, newsletters and blog articles. I understand I may unsubscribe at any time. Captcha If you are human, leave this field blank.
