Booking form – pregnancy yoga classes

All personal information will remain strictly confidential

If you’d like to book onto the class please complete the form below, or if you prefer you can email me on rosannagodfrey@outlook.com. If you have any questions please don’t hesitate to contact me.

Find upcoming pregnancy yoga class dates and venue details here.

Name *

First

Last

Email *

Contact number

Address

Your date of birth (optional)

What date would you like to start your classes? *

Pregnant women are welcome to the class from 15 weeks pregnant up until birth

Preferred payment method (online bank transfer or cash)?

Please pay online before your first class - online payment details will be sent with your booking confirmation

Have you any yoga experience? (optional)

Everyone is welcome to the class, including yoga beginners and all levels.

When is your baby due to arrive? *

Midwife and surgery name

Please mention anything which you feel may be relevant to your yoga practice and pregnancy eg injuries, conditions or anything else *

What are you hoping to gain from joining this yoga class? Eg fitness, stretching, flexibility, strength, relaxation, meditation, stress-relief, preparing for labour, mental health, meeting others, and / or anything else *

This information is helpful so that I can aim to make the classes enjoyable and appropriate for everyone attending. Thank you 🙂

Occasionally we might use photos or videos of the class for my website or social media. Are you happy for us to use photos or videos that include you? *

How did you find out about the class? *

Emegency contact name and number in case need during the class (someone other than you) *

Are you happy to receive emails or messages regarding class information? *

If at any time during the class, you feel discomfort or strain, gently stop the movement or come out of the posture and rest. You may rest at any time during the class. It is important in yoga that you listen to your body, and respect its limits on any given day. I understand that yoga is not a substitute for medical attention, examination, diagnosis, or treatment. I should consult a medical professional or midwife prior to beginning any activity program, including yoga. I recognise that it is my responsibility to notify my teacher of any serious illness or injury before every yoga class. I will not perform any movements or postures to the extent of strain or pain. I accept that neither the instructor, nor the hosting facility, is liable for any injury, or damages, to person or property, resulting from the taking of the class in person at a venue, home or via online video class. In the unlikely event that a class is cancelled due to instructor illness, a make up class will be offered as soon as possible as a refund may not be available. *

Please tick to accept

For the safety reasons, I will not attend the class if me or anyone in my household has confirmed or suspected covid-19, or if we are experiencing any covid-19 symptoms. I have read the covid safety information page at www.yogawithrosanna.co.uk/yoga-classes-basingstoke-covid-19-safety/ and agree to follow the guidance given. I understand that the classes might be changed from in-person venue held classes to online video classes at any time (with as much notice given as possible), depending on the changing pandemic situation and to ensure the safety of myself and others *

Please tick to agree

Name