Yoga Mind & Body Club
Health & Safety Form

To safeguard your health and safety we ask that you complete this short form prior to attending our yoga classes. Rest assured, your responses will be treated in the strictest of confidence.

About You

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

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

In the past month, have you ever had chest pain when you were NOT doing physical activity?*

Do you ever 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) that could be made worse by a change in your physical activity?*

Is a doctor currently prescribing drugs for your blood pressure, a heart condition, or any other form of serious or chronic physical or mental health condition?*

Do you have a disability for which we could make adjustments in order to improve your experience, e.g. hearing loss? (Leave blank if not applicable)
Do you know of any reason why you should not practise yoga?*

We never share your data.


Informed Consent

We need your ‘informed consent’ before you can begin yoga with us. Informed consent can only be given when the purpose, risks and benefits of yoga have been fully explained and understood by you.

1. The purpose of learning yoga

Yoga has a number of complementary objectives which students develop as appropriate to their personal needs. We teach traditional proven yoga, called hatha yoga, using both ancient and modern, as well as grounded and sensible, teaching methods.

The purpose of yoga, as we teach it, is to:

  • Provide you with deep, challenging but also gentle physical exercise which complements more vigorous or sedentary activities by increasing your breathing capacity, flexibility, strength and stamina. Yoga is largely a physical activity. It is important that you realise this.
  • Develop your capacity for relaxation, meditation and mindfulness through the practice of established techniques which follow logically from the physical practice. These will increase your awareness of the links between the body and mind, enabling you to better manage the demands of life, whilst prolonging and sustaining your personal fitness and wellbeing.

2. The components of our yoga teaching programme

Hatha yoga is an ancient practice proven to be good for your body and mind, provided it is practised properly. Our emphasis is on safety, technique and the pleasure of learning yoga using proven teaching methods. We are progressive in our approach, taking care to meet each individual student’s needs, as best we can.

Our sessions are inclusive, accessible and enjoyable. Each class lasts for 75 minutes and comprises of three phases: a warm-up focusing on breathing and gentle movement; a structured sequence of physical yoga postures building up to a primary posture; and then winding the session down to the final phase which incorporates relaxation, meditation and mindfulness.

Every session is accompanied by different types of exhilarating and relaxing music designed to complement and enhance the class. The therapeutic effect and energy of music is an essential part of our yoga experience. Each lesson is different, primarily because every lesson adapts to the level of ability and personal objectives of the students.

3. A brief explanation of the possible risks, discomforts and benefits of yoga

Yoga is a safe, low-risk practice, provided you are taught and learn it properly by applying judgement and regular practice. You will sweat; yoga can be hard physical work. You will encounter some natural resistance when your muscles and joints are being worked, but because of the gentle techniques involved you will rarely suffer from discomfort the following day, as the muscles and joints have been exercised with consideration.

Learning to move with your natural breathing is at the heart of yoga, combined with thinking about what it is you’re doing, and what parts of your body you’re using. It’s a cerebral as well as a pragmatic approach to the care of personal health and wellbeing.

We advise students to stay roughly within 80% of their maximum ability. If you experience sharp unexpected pain, come out of the posture carefully, take a rest and inform the teacher.

Yoga is efficient, effective and inexpensive. Compared to the amount of time you practise, and proportionate to that, you will find the benefits of yoga to be exponential. There are six benefits of yoga which we aim to develop in our students, namely:

  1. Physical fitness
  2. A healthy body
  3. Mental health
  4. Confidence
  5. Determination
  6. Purpose

4. Your responsibilities

Your responsibility is to take ownership of your personal behaviour; to ask when you are uncertain and not do anything which exposes yourself, other students and the teacher or club to any undue risks. This includes complying with the teacher’s instructions during a session, especially in cases of emergency, for example, during a fire alarm test.

If any of your circumstances, or answers to the seven health questions above, have changed, you must inform Yoga Mind and Body of those changes, so that we can make reasonable adjustments. If you become pregnant we need to be made aware of this.

Yoga engages the mind. It’s important, without being intrusive, that you advise us of any significant impairment of your mental health. Meditation, if not practised sensibly could exacerbate a condition if, for instance, a student overthinks or ruminates on a painful problem without recognising the need for detachment.

It goes without saying that good manners, treating other people with proper respect, and being affable are expected parts of being a yogi. We have a happy and socially at ease club. This does not mean you have to change your personality or feel you have to be the life and soul of the party. Your privacy or desire for solitude is respected. You take from yoga, and the club, what works for you, within the common rules of courtesy, tact and good humour that makes for a better society.

You must abide by our governing policies and procedures which are available on our website. These are not onerous or excessive: just sensible and what you would expect from a well-run, member-centred club.

5. Confidentiality and privacy

Everything you tell us is treated as confidential and private, just as if you were confiding to a lawyer or doctor. We are also particularly stringent on protecting your personal information, and on safeguarding your health, safety and security, hence our asking you to complete this form as a mandatory procedure. Your personal information is removed from our database if you decide to leave the club.

6. Voluntary participation and right to change your mind

You always have the right to not participate or change your mind. If, for example, you feel a particular posture is not for you, you’re not obliged to do it. You will not be exposed to pernicious or hard marketing campaigns. Emails are kept to a minimum. You are not entwined into devious or complex membership contracts. We are open and generous in our attitude to members. If we’re no longer for you, we aim to part as friends.

Yoga Mind and Body Club is a social enterprise, which means we’re in business to do some social good, not to make a lot of money. Conversely, the club does have to pay for itself and provide for future development. We charge proportionate fees commensurate with the quality of yoga teaching we provide, which we believe, and aim to ensure, is amongst the best you will experience.

7. The opportunity to ask questions

If you have, now or in the future, any questions pertaining to yoga or the club please do not hesitate to contact us. We are here to help and give you the best service we can.

PLEASE REMEMBER TO INFORM US OF ANY CHANGES TO YOUR PHYSICAL OR MENTAL HEALTH AND ANYTHING ELSE WHICH YOU THINK WE SHOULD BE AWARE OF REGARDING YOGA, THE CLUB, OR YOUR HEALTH AND SAFETY.