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JANET EVANS YOGA STUDENT ENROLMENT FORM
*Information is essential and will be treated in the strictest confidence.
*Name ……………………… …………………………......................
*Address …………………… ……………............................
……… ……….........……….……Post Code………… ………............
*Phone No. .. ………………. Date of Birth ….…….
*E-mail ………………............................ ……………………
*Emergency Contact Name ……………….......………………………………………
*Emergency Contact ‘Phone No. …………………..……………………………..
(in case of emergency during class)
*Medical Conditions, Problems and Injuries, include pregnancy current or in last 9 months *Current
Medication / Treatment *Is condition controlled?
e.g. Asthma, Low back pain, Whiplash 3 yrs ago, Baby 7 months ago
Medical information may be used in lesson planning and in case of emergency
*State which session you are attending: Day …… ……
*Session start time ………………………………………………...........
*First session Date …….../…………… …………/…………........
What regular exercise do you take? E.g. walking, swimming
………… ……………………………………………..
How often do you normally exercise?
............. ………………………...........
If you have practised Yoga before, with whom and for how long?
……………………………………………………………………...…………....
What do you hope to gain from attending Yoga classes?
……………………………………………………………………………..……....
How did you find out about Janet Evans Yoga? Please place an X
Word of mouth ………………………
Web Search ………………………
Poster / Leaflet ………………………
Other, please state ………………………………………
Did you find the Web site useful? YES / NO
Have you any queries? ……………………………….
……………………………………………………………………………………...
*Do you agree for contact information to be kept and used by Janet to keep you up to date with yoga classes and yoga events? YES / NO
*Do you agree for contact information to be kept and used by Janet to keep you up to date with Christmas, charity and other events? YES / NO
*Do you agree for this information to be shared with a supply teacher if necessary? (If no, you will be unable to attend sessions where a supply teacher is required) YES / NO
*Sign to agree the details on this form are correct, and will be updated if and when anything changes, you are responsible for your own well-being and that you have read and understand the guidance notes and terms and conditions.
Signed ……………………….……..…..……. Date …………………..……
Joining a Yoga class – What is Yoga?
Yoga is a philosophy based on a way of living. Hatha Yoga, as taught in this course, is a form of exercise based on the belief that the body and breath are intimately connected with the mind. By controlling the breath and holding the body in steady poses or asanas, Yoga creates harmony.
The aim of this holistic exercise is to improve suppleness, stamina and strength. Each posture is performed slowly in fluid movements. The exercises are designed to ease tensed muscles, to tone and to improve the flexibility of the body’s joints. The greater the home practise the more beneficial you’ll find your yoga.
Many postures are combined with specific breathing routines. Deep, even breathing will improve your general health. Breathe through the nose (if able) unless otherwise instructed.
The release of tension through relaxation is vital to keep the body healthy. Each Yoga session begins and ends with relaxation. This allows the released energy to flow freely. As the body, breath and mind work and rest in harmony this can help to relieve stress and replenish your energy.
Remember - Yoga is about LOVE and HARMLESSNESS – starting with yourself!! Work within your body’s capabilities.
Your tutor is Janet Evans, British Wheel of Yoga Teaching Diploma (recognised by the Central Council for Physical Recreation (CCPR), Sports England and Complementary & Natural Healthcare Council (CNHC)) YOGA for Healthy Lower Backs
janet@janetevansyoga.co.uk
www.janetevansyoga.co.uk
Guidance Notes
Yoga can be practised by young and old alike. While there is no one who should be excluded, check with your doctor before you begin a course if you suffer from a medical condition or have any doubts. These classes will concentrate on gentle movements and improving flexibility, strength and breathing.
Take a non-slip Yoga mat, or for the short term an aerobics or foam camping mat, something large enough to lie down on which will not slip. A belt and block will be useful aids to help on the way to attaining alignments.
Always wear comfortable, stretchy clothing for your practice. Leggings, track suits, stretchy shorts and tee shirts are very suitable. Do not wear anything restrictive especially around the waist and hip joints. Layers are recommended as room temperatures can vary. Be prepared to work with bare feet. If you do need something on your feet wear non-slip socks.
Warm clothing including socks will be required for relaxation. A small blanket or towel is also useful during this time.
A period of one hour should elapse after snacks e.g. slice or toast or pot of yogurt, before beginning practise. 2-4 hours after a meal, or if advanced techniques are to be performed at least 4 hours.
Violent movements and straining should be avoided. Work at your own pace, within your own capacity, with due care and attention. There is no competition or ‘end gaining’. If a movement is difficult unaided props can be used or help given to ensure you get the maximum benefit. With time and practise your range of movement should increase. If a medical condition prohibits certain movements there are usually alternatives, or you can rest.
Please fill in the attached form and tell me when new medical problems arise, or if particular movement causes problems you’d forgotten about to come to mind.
Do talk to me if you have any queries or would like further information.
Terms and Conditions Privacy Policy
You are responsible for updating your details. Your contact details will be stored electronically and used as necessary as long as you remain a student to keep you informed regarding yoga classes (e.g. term dates, cancellations), and not passed to third parties. Health questions are required in the interest of protecting the student and making necessary adjustments. As a current or former student you may be contacted regarding yoga classes/events if consent has been agreed. All information (including payments made for classes and attendance) will be kept private, except where the law requires otherwise, and destroyed 7 years after you stop attending yoga sessions. Your information will only be passed on to medical personnel if you become unable to give consent. Other details e.g. expectations of class, DoB and previous experience, may be used in an anonymous way for my own lesson planning, data analysis, targeting future advertising, etc.
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