Student questionnaire

All the information detailed in this form is strictly confidential. Required fields are marked with an asterisk.

Name *
Name
Please enter your date of birth in the DD/MM/YYYY format.
Please provide the name and contact number for the person to be contacted in the case of an emergency.
Which class(es) do you / will you come to? *
Please tick all that apply
Do you have any yoga experience? *
If you selected 'yes' above, please describe the type(s) of yoga you have practiced, how regularly you practice and for how many years.
Please list any injuries, medical issues and/or important medical history that are of relevance to your yoga practice.
Are you pregnant? *
If you answered 'yes' above, please specify how many months pregnant you are.
How did you hear about Tigris Yoga? *

TIGRIS YOGA - PRIVACY POLICY

I fully respect your privacy and will never share your data with third parties. Occasionally, when I receive a Student Info Form, it is necessary for me to contact the student (for example to discuss in more detail medical issues listed or to provide guidance on how to book a class). By filling in this form you are therefore agreeing to me contacting you via email or phone for such matters. Completing this form does not sign you up to my newsletter and I will not contact you for marketing purposes. If you would like to receive my newsletter please sign up here.