Booking form – postnatal mum and baby 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 postnatal mum and baby yoga class dates and venue details here.

Name *

First

Last

Email *

Contact number *

Address *

Baby's name *

Baby's DOB *

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

What date would you like to start your classes? *

Medical conditions (baby and mum) or anything you'd like to mention / any questions?

For example hip displaysia, reflux, disabilities, pelvic girdle pain, diastasis recti, prolapse

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

How did you find out about the class? *

What are you hoping to gain from joining this yoga class? Eg fitness, stretching, flexibility, strength, relaxation, meeting others, meditation, stress-relief, mental health, baby development, baby bonding, getting out the house with baby, 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 🙂

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

Occasionally I might use photos or videos of the class for my website or social media. Are you happy for me to use photos or videos that include you and your baby? *

As far as I am aware, I have disclosed to my yoga teacher all information regarding my health and my child’s health relevant to the practice of yoga and massage on my child. I agree to inform the teacher of any changes to the above information at the beginning of any class. I take full responsibility for all applications of yoga I may practise during yoga classes in person, at a venue, home, via online video class or outside the Birthlight classes, both now and in the future. I accept that Birthlight does not take responsibility for any applications of Yoga practices described or shown in books and videos. I fully understand that the recommendations, ideas and techniques expressed and described in Birthlight classes, as well as in books and videos endorsed by Birthlight, cannot be regarded as a substitute for the advice of qualified medical practitioners. Any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk. I should consult a medical professional before beginning any activity program, including yoga. 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

How many weeks or months will your baby be at the start of the course? *

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