CLASS SCHEDULE...

CANCELLATIONS will be posted on the message board.

Registration form below.

Day	Time	Class	Instructor
Monday	5:30pm 7:00pm	Flow Yoga - all levels Flow Yoga Temporarily cancelled	Jeri Jeri
Tuesday	5:30pm 7:00pm	Power Yoga Flow Yoga - all levels	Sheila Sheila
Wednesday
Thursday	4:30pm 6:00pm	Flow Yoga - all levels Power Yoga	Sheila Sheila
Friday
Saturday	9:00am	Flow Yoga - all levels	Sheila

Power Yoga - some experience is required

New classes are always forming. We will always consider requests for

additions to the class schedule. Please feel free to foward any suggestions or special requests to our email address under “Contact Us.”

THE NATURAL PATH

790 South Main Street, Plantsville, CT

(860) 426-9766

CLIENT INFORMATION FORM - YOGA

 

Date__________________                      Age_______________           Date of Birth________

Name____________________________________________

Address__________________________________________

City/State/Zip______________________________________

Telephone___________________________(Home)

___________________________(Work)

Referred by:_______________________________

      

1. What is your present health condition? (Are you pregnant?)

 

2. List any major illnesses, accidents, and surgeries. 

 

3. Do you exercise regularly? 

4. Do you have any spinal problems?

5. Have you ever participated in a Yoga class?

6. Is there a specific reason why you are taking Yoga?

 

I hereby acknowledge that I am voluntarily participating in a yoga class at The Natural

 Path located in Plantsville, Connecticut. In the event I should experience any pain or

discomfort during the class, I understand that I should refrain from continuing with

such activity and, thereafter, discuss the same with the instructor. I hereby waive,

release, indemnify and hold harmless The Natural Path, its facility, contractors, staff,

agents and/or assigns from any claim arising out of injury to myself as a result of my

participation in this program(s). As with any exercise program, I understand that I

should seek the approval of a licensed physician or health care professional prior to

engaging in such activities.

                                                            _______________________________/____________

                                                             Signed                                                Date