Forms & Health Information

All information will be kept confidential – For instructor use only

Please download, sign and return the Professional Disclosure and General Release Form and email it back to linda@shiningheartyoga.com.

Download

Fill out this general health questionnaire:


    Are there any other physical or emotional challenges you may be working with?

    Have you had experience with yoga? If so, what?

    What are you hoping to get out of class?

    In case of emergency, contact and phone:

    During class there may be an opportunity for hands on assistance . This is completely voluntary. Do you wish to receive this kind of assistance ? If so, do I have your permission to give you this kind of assistance?

    Although this form will be kept in a confidential file , please remember that it is your responsibility to update me on any changes in your health . Also remember that is is advised that you consult with a health care professional before beginning any physical program.
    Thank You!!