Booking Form (PARQ) - Video library subscription

Booking form/PARQ - video library subscription
Please complete and submit this booking form and physical activity readiness questionnaire (PARQ) before taking part in any activities. Confirmation will be sent by email giving you further information and details to make payment. Once payment has been received, you will be sent a link and password to access the library.

* Indicates required field

Name *

First

Last

Email *

Phone Number *

What month would you like to start using the video library? *

Where did you hear about Absolute Yoga and Pilates? *

What are your motives for exercising? *

Agreement:

By submitting this booking form, you agree to the dates selected and understand that payment cannot be refunded if you are unable to attend.
Full payment for services is required in advance.
You need to complete the Physical Activity Readiness Questionnaire (PARQ) below.
By submitting this booking form, you have asked to receive emails and communications from us. This will keep you informed on current services available. You can unsubscribe at any time. This is following General Data Protection Regulations (GDPR) 25th May 2018.
By submitting this booking form, you agree to the disclaimer below.

Disclaimer:
The pre-recorded classes provided by Absolute Yoga and Pilates are for educational and entertainment purposes only, and are not to be interpreted as a recommendation for a specific treatment plan, or course of action. Exercise is not without risks, and this or any other exercise programme may result in injury. They include but are not limited to: risk of injury, aggravation of a pre-existing condition, or adverse effect of over-exertion such a muscle strain, abnormal blood pressure, fainting, disorders of heart beat, and very rare instances of heart attack. To reduce the risk of injury, before beginning this or any exercise programme, please consult a healthcare provider for appropriate exercise prescription and safety precautions. The exercise instruction and advice presented in our recorded classes are in no way intended as a substitute for medical consultation. Absolute Yoga and Pilates disclaims any liability from and in connection with these recordings. As with any exercise programme, if at any point during the class you begin to feel faint, dizzy or have any physical discomfort, you should stop immediately and seek medical advice.

Health Screening/PARQ:
Please answer each question with a yes or no. (All information will be treated confidentially)

Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor? *

Do you ever feel pain in your chest when you do physical activity? *

In the last month, have you had chest pain when you are not doing physical activity? *

Do you lose your balance because of dizziness or do you ever lose consciousness? *

Do you have a bone or joint problem, for example, back, knee or hip? If you answer yes you are advised to seek advice from a health care professional first. See declaration below *

Is your doctor currently prescribing drugs for blood pressure or a heart condition? If you answer yes you are advised to seek advice from a health care professional first. See declaration below *

Are you pregnant or have you had a baby in the last 6 months? If you are pregnant, how many weeks will you be for your 1st class *

Is there any other reason why you should not participate in physical activity? *

IF YOU HAVE ANSWERED YES TO ONE OR MORE QUESTIONS
You should talk to your doctor by phone or in person before you start becoming more physically active. Tell your doctor about the questionnaire and which questions you answered YES to. Please also tell your instructor. If you have already got medical clearance for Yoga/Pilates or moderate exercise in general, please fill in the declaration below.

You may be able to do any activity you want – as long as you build up slowly and gradually. Or you may need to restrict your activities to those that are safe for you. Talk with your doctor about the kinds of activity you wish to participate in and follow his/her advice. Yoga/Pilates exercises are generally safe for most people, it improves flexibility and strengthens your deep postural muscles – particularly your deep abdominals and back muscles – as well as improving your overall posture and body awareness, thus minimising the chance of future injuries.

IF THE ANSWER IS NO TO ALL QUESTIONS you can reasonably be sure that you can start to become more physically active and take part in a suitable exercise programme. Begin slowly and build up gradually!

PLEASE NOTE

If your health changes subsequently so that you answer YES to any of the above questions, please stop exercising immediately and get in touch.
If you are temporarily unwell (e.g. cold or flu), delay becoming more active until you are better.
If your doctor has recommended that you avoid any movements, make sure you follow their advice.

By submitting this booking form you confirm you have read and understand this questionnaire. If you have any concerns, contact us by email.

Once submitted, we will reply by email. Please add pauline@absoluteyogaandpilates.co.uk to your trusted contacts. If you do not hear from us within 24 hours, please check your junk file.

DECLARATION This applies if you have answered yes to any of the above questions. I declare I have been cleared by my doctor (GP, specialist or other qualified health professional) to take part in moderate exercise. Please input your full name to indicate your informed consent. *

Submit

Price: £10 per month
Our video library is £10 per month payable by direct banking. Details will be sent by email when your booking form has been submitted.

Absolute Yoga and Pilates;
'Friendly classes that help you enjoy a healthy and balanced life'

t: Pauline 07821 969405
e: pauline@absoluteyogaandpilates.co.uk

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