Booking Form (PARQ) & Prices

Booking form and PARQ
Please complete and submit this booking form and physical activity readiness questionnaire (PARQ).
Bank details for payment will be sent by email when we receive your booking. For courses, full payment or deposit of £20 for early bookings will secure your space. For workshops full payment will be required to secure your space. If paying a deposit, the full balance is due 2 weeks before the course starts.

* Indicates required field

Email *

Name *

First

Last

Phone Number *

Emergency contact name and number *

Course/workshop details (the course/workshop you would like to book onto i.e: Introduction to Yoga, Barre Pilates, Hatha Yoga) *

Course venue *

Course, day, date and time *

Where did you hear about Absolute Yoga and Pilates? *

What are your motives for exercising? *

Agreement:

We will make every effort to accommodate your course booking, however dates and times are subject to availability.
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 (for early bookings, a deposit payment will secure a space).
You need to complete the Physical Activity Readiness Questionnaire (PARQ) below.
By submitting this booking form, you have the option 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.

Health Screening:
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 and you have started a class with us, please inform your teacher.
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 that you let your teacher know.

By submitting this booking form you confirm you have read and understand this questionnaire. If you have any concerns, contact us by email and ensure you speak with your instructor at the start of your class.

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. *

I agree to receiving marketing and promotional materials

Submit

Prices:
Courses are individually priced, see course dates page - 'Try before you buy' £12, contact us to check availability

'Drop in' £15 Attend an individual course session, please check availability first

Pay as you go classes £8 Completely versatile, only pay for the class you attend. (Exclusively for the Thursday day-time class programme)

One to one private session £55 Sessions take place in your own home (or at a location you choose) and at a time convenient for you. This price is for a one hour session local to Hornchurch.

Absolute Yoga and Pilates;
'Introducing, teaching and inspiring people to enjoy a healthier and more active life'

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

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