Pre activity readiness questionaire | Yoga Drum

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Pre activity readiness questionnaire & waiver

Please fill out a form pre activity and again if any changes occur

First Name

Last Name

Email

Date of Birth

Have you been hospitalized in the last 12 months?

No

Yes

Are you suffering from a medical condition, illness, or injury?

No

Yes

If you answered yes to any question, please elaborate

Emergency contact or perantal consent for under 16's, name, number and relationship

I declare that the info I’ve provided is accurate & complete. I consent to any photos/videos of myself to be shared and used. I have recieved consent from my doctor to take part in yogadrum activities and I will inform the teacher of my health conditions at the start of class.

Thanks for submitting!

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