Cork Yoga with Claire
NEW CLIENT FORM

This form is confidential and your personal details will not be shared with any third party
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Name *
Phone Number *
Email address *
Each month I share updates about class times, events and retreats. If you would like to be included please tick the following: *
Kinakailangan
Do you have any medical conditions or injuries? *
Have you practiced yoga before? *
Kinakailangan
What to you hope to gain from attending yoga classes? e.g. Improved health
How did you find out about Cork Yoga with Claire? *
DIGITAL DECLARATION: By attending these classes, I affirm that I am solely responsible for my health and well being.I agree to inform the teacher of any injuries or potentially limiting physical conditions prior to  class. I acknowledge that yoga is a physical exercise that may be strenuous in nature, I agree to listen to my body throughout each class, if I feel pain or discomfort I will ask for assistance from the teacher Cork Yoga with Claire will not be held liable for any injury, loss or damage to property and/or persons sustained during or as a result of participation in this class. By checking this box you are agreeing to the Declaration above and the terms & conditions of Cork Yoga with Claire. *
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