Health Questionnaire

Please fill out the following form to help us understand your physical condition


Informed consent for exercise participation

I would like to take part voluntarily in yoga classes.

I understand that I am responsible for monitoring myself throughout the class and, should any unusual symptoms occur, I would cease participation and inform my instructor of the symptoms.

In the event of any injuries occurring as a result of attendance, Audrey Allan is released from any liability now, or in the future, for conditions that may be obtained from participation as I understand it is my responsibility to listen to my body.

In signing this consent form, I can confirm I have read this form and fully understand.



Have you been hospitalized in the last 12 months?
Are you currently suffering from a medical condition, illness, allergies or injury?

Thanks for submitting!