Last Name
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First Name
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Phone
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Have you participated in aerial yoga, or a physical fitness program before?
Yes
No
If yes, please share what you have tried?
Do you have any physical disability or any health issues/conditions that we should be aware of?
Yes
No
If yes, please give a brief for our understanding:
Do you have any of the following? Please check all that apply:
Lower back pain
Upper back pain
Shoulder pain
Numbness to any part of the body
Muscular pain
Neck injury
Seizures
Knee surgeries
Asthma
Allergies
Surgery
Please check each declaration to acknowledge the statement:
Please consult a doctor or health care professional if you or your child(ren) are returning to physical activity and programming from injury or illness or are taking any medications that may put you or your child(ren) at risk performing physical activity.
Hydration is a requirement for all classes. Drinking plenty of water before and after classes will reduce the risk of medical complications.
It is not recommended to eat a heavy meal 2 hours before a fitness or yoga class.
Take each class at your own pace, understand your own limits and comfort zone. Do not do anything that does not feel comfortable for you (and your baby if pre or postnatal)
It is important to disclose any personal health history, any medications you are taking, and any symptoms you may be experiencing during exercise. Such symptoms would include back/neck/joint pain, irregular heart rhythm, tightness or pressure in your chest, unusual shortness of breath, light headedness and dizziness.
Physical fitness and all yoga should be modified or postponed if a back/neck disorder or condition is present or if pain or symptoms persist.
Instructors at Ivy Rose Creative are qualified in Standard First Aid + CPR and are trained to watch for any signs or symptoms associated with a poor exercise response.
If you or your child require any asthma medication or inhalers, epi-pens or other life saving medications please disclose that in the registration form and notify your instructor in person on the first class. Please ensure they know where this medication will be kept to maintain the health and safety of all participants during each class.
You should not exceed the recommended exercise intensity and you should not exercise when you are sick or not feeling well. Please stay home if you are experiencing any of the following symptoms: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea
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