Enrolment Form and Medical Questionnaire

This form and declaration must be filled in and submitted before attending any class at the Institute.

The information you provide is treated with complete confidentiality. We ask as it will enable IYISL studio to get to know our clients better and ensure we remain a welcoming and inclusive space.

We don’t keep your medical information. We ask for medical information so that we can make sure it is safe for you to do yoga classes. Please note that classes are generally not suitable for pregnant women or anyone who has surgery within the last 6 months.

 

Please complete the form below

Name *
Name
We want to ensure our spaces are welcoming and inclusive to all.
We want to ensure our spaces are welcoming and inclusive to all.
How did you hear about IYISL?
IYISL e-newsletter opt-in *
MEDICAL QUESTIONNAIRE
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please specify the date and details of diagnosis and any treatment you are having. Type N/A if not applicable.
Please 'submit' your form to consent to the following:
I have filled in my medical information on the medical form above. I declare that I am not aware of any reason/s why I should not participate in moderately strenuous physical activity including work on specific muscles and joints. I undertake to remind the teacher of any injury and/or inform the teacher of any adverse change in my health before each class. I consent to being corrected and adjusted “hands-on” by the teacher.