Please fill out below form before your first class

(If you have filled out this form before and nothing has changed no need to fill it out again

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Emergency Contact NAME & NUMBER

Please state below

- if you are currently on any medication - if you are pregnant or have been given birth in the last 3 months, and any specifics regarding pregnancy/birth that may impact your safety - if you have difficulty with physical exercise or advice from your GP to avoid specific movements - if you had a recent surgery - if you have diabetes, a heart condition or a chronic illness - anything else you feel you should mention and we should know about

By signing below you are agreeing to the following terms

You have read, understood clearly and agree to the points outlined below: You are aware that practicing yoga can involve risks, and that adequate care, attention and instruction will be given for each specific practice. If you are ever in doubt about something you hereby agree to communicate clearly in asking for help. The Movement Studio have installed CCTV. The cameras cover some of your training space, however, they are not monitored actively. The cameras will notify The Movement Studio Manager out of hours if there are any disturbances. This is the sole purpose of the cameras. By signing below you agree that all the information above is correct as of todays date and that if there are any changes to your health you will notify Sparkle with Lindy via email hello@sparklewithlindy.com or mobile 0862304026 (WhatsApp/Text message). If there is anything you like to ask or mention please state here:

Name

First Name

Last Name

Todays Date

MM

DD

YYYY

Screeningform

Please fill out below form before your first class