PREGNANCY YOGA
REGISTRATION FORM

NAME

PHONE NUMBER

DUE DATE & NO. OF WEEKS PREGNANT:

STUDENTS CAN ONLY ATTEND CLASS ONCE THEY HAVE PASSED 13 WEEKS AND HAVE HAD THEIR FIRST ULTRASOUND SCAN

ARE YOU PREGNANT WITH TWINS/MULTIPLES?

YES

ANY FIELDS MARKED WITH A * DENOTES A CONDITION THAT IS TOO SERIOUS TO MANAGE IN A YOGA CLASS. SHOULD YOU DEVELOP ONE OF THESE CONDITIONS LATER ON IN PREGNANCY, YOU MUST LET BECCI KNOW.

HAVE YOU DONE YOGA BEFORE, IF SO FOR HOW LONG AND WHAT STYLE?

WHAT ARE YOU HOPING TO TAKE AWAY FROM ATTENDING CLASS? FOR EXAMPLE, FEELING MORE RELAXED DURING PREGNANCY, LEARNING BREATHING TECHNIQUES FOR BIRTH, INTERESTED IN HYPNOBIRTHING, STRENGTHENING & TONING YOUR BODY, TIME TO CONNECT WITH YOUR BABY, CONNECTING WITH OTHER MAMAS TO BE

HOW DID YOU HEAR ABOUT BECCI HADZI YOGA?

DISCLAIMER - AS FAR AS I AM AWARE, I HAVE DISCLOSED ALL INFORMATION REGARDING MY HEALTH RELEVANT TO THE PRACTICE OF YOGA DURING PREGNANCY. I TAKE FULL RESPONSBILITY FOR ALL APPLICATIONS OF YOGA I PRACTICE IN THE CLASS AND OUTSIDE THE CLASS DURING MY PREGNANCY. I FULLY UNDERSTAND THAT THE RECOMMENDATIONS, IDEAS OR TECHNIQUES EXPRESSED AND DESCRIBED IN THESE PREGNANCY YOGA CLASSES CANNOT BE REGARDED AS SUBSTITUTE FOR THE ADVICE OF QUALIFIED MEDICAL PRACTITIONERS. ANY USES TO WHICH THE RECOMMENDATIONS, IDEAS AND TECHNIQUES ARE PUT AT MY SOLE DISCRETION AND RISK.

Thank you for submitting your registration form. If there's anything we need to chat about prior to class I'll be in touch x

yoga to bring calm, balance & grounding

PREGNANCY YOGA
REGISTRATION FORM

STUDENTS CAN ONLY ATTEND CLASS ONCE THEY HAVE PASSED 13 WEEKS AND HAVE HAD THEIR FIRST ULTRASOUND SCAN

ANY FIELDS MARKED WITH A * DENOTES A CONDITION THAT IS TOO SERIOUS TO MANAGE IN A YOGA CLASS. SHOULD YOU DEVELOP ONE OF THESE CONDITIONS LATER ON IN PREGNANCY, YOU MUST LET BECCI KNOW.

connect with me online

PREGNANCY YOGA REGISTRATION FORM

**STUDENTS CAN ONLY ATTEND CLASS ONCE THEY HAVE PASSED 13 WEEKS AND HAVE HAD THEIR FIRST ULTRASOUND SCAN**

ANY FIELDS MARKED WITH A * DENOTES A CONDITION THAT IS TOO SERIOUS TO MANAGE IN A YOGA CLASS. SHOULD YOU DEVELOP ONE OF THESE CONDITIONS LATER ON IN PREGNANCY, YOU MUST LET BECCI KNOW.

PREGNANCY YOGA
REGISTRATION FORM

STUDENTS CAN ONLY ATTEND CLASS ONCE THEY HAVE PASSED 13 WEEKS AND HAVE HAD THEIR FIRST ULTRASOUND SCAN