Enrolment Form

Please contact the school before attending any classes if you are a new student.

Where did you hear about classes at The Yoga Room?

Do you have any injuries: e.g. knee reconstruction, stiff neck or back, or ANY other injuries or problem areas?

Are you taking any medication? What for?

Do you, or have you had, any serious medical conditions: e.g. high or low blood pressure, diabetes, cancer or any other health problems? Please list below.

Are you pregnant? If yes, how many weeks?

Have you done any yoga in the past? If yes, when and where?

What are you hoping Yoga can offer you?