New Student Registration Form

Please fill in the details below

Name

Phone

Have you practised yoga before? If so, for how long?

Do you have any injuries or health concerns? If so, please provide details below.

Do you experience any of the following? Neck & shouder tension / back ache / difficulty sleeping / stress / anxiety / depression?

What would you like to get out of yoga?

How did you hear about Gem Yoga & Wellness?

If you are pregnant, have high or low blood pressure or have a detached retina, please state here so we can discuss before class.

I agree that any information, instruction or advice from Gem Yoga & Wellness may NOT be used as a substitute for my Doctor's advice or treatment. I understand that I should consult my doctor before starting a new exercise programme and stop immediately if I feel unwell, or any pain or discomfort.

Opt in to receive emails about classes and other activity from Gem Yoga & Wellness. You can unsubscribe at anytime.

(If you are recieving a first free class, opt-in to emails must be ticked as per subscribing.)

I agree

Opt in

Thank you for submitting!

New Student Registration Form

Fancy some Free yoga?

Storytelling

FAQ's