Book Pregnancy Yoga - Suething Hands Baby Massage

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Book a Pregnancy or Post-Natal Yoga Class

Complete the form below to enrol onto one of our classes

Please select a class and venue/date

Class Type *

Location & Date of Workshop *If no dates are shown all classes are currently fully booked

Location & Date of Pregnancy Yoga Class *If no dates are shown all classes are currently fully booked

Location & Date of Post-Natal Yoga Class *If no dates are shown all classes are currently fully booked

Class Details - Pregnancy Yoga Workshop

Pregnancy Yoga Workshop - £{calculation-1}

Class Details - Pregnancy Yoga

Pregnancy Yoga - £{calculation-1}

Class Details - Post-Natal Yoga

Post-Natal Yoga - £{calculation-1}

Voucher Active

Your Details

First Name *

Last Name *

Email Address *

Phone *

Address Line 1 *

Address Line 2

City *

County *

Post Code *

Country

Age *

Name of Baby *

Baby's date of birth *

Previous births & age of older children *

Is this your first pregnancy yoga session with us? *YesNoIf this is your first time booking a pregnancy yoga session you will be required to complete a pregnancy health questionnaire. If you have already booked with us before, please select no and proceed to the next section.

Pregnancy Details

No of weeks pregnant *

Estimated due date *

Multiple pregnancy? *

First or subsequent pregnancy? *

During this pregnancy have you experienced any of the following?Morning sicknessHeadacheDiabetesConstipationHeartburnNosebleedsSciaticAsthmaLower back painOedemaVaricose veinsLow blood pressureHigh blood pressureDepressionAnxietyDizzinessCrampsRheumatoid Arthritis or OsteoarthritisAnemiaPubic pain/Pelvic girdle pain (PGP)Carpel tunnel syndromeOther*Bleeding (Vaginal)*Pre-eclampsia*Placenta Previa (marginal or complete)Please tick all that apply - *(Denotes a condition that is too serious to manage within in a yoga class)

OtherPlease give details

What are you hoping to gain from the class?Interested in the breathing aspectStrengthening muscles & toningRelieving various ailmentsQuiet time to bond with babyRelaxation & MeditationMaking friends with other mothers to beOtherPlease tick all that apply

OtherPlease give details

Client Declaration *

As far as I am aware, I have disclosed to my yoga teacher all information regarding my health relevant to the practice of yoga during my pregnancy.

I take full responsibility for all my applications of yoga practice in the class and outside the class during my pregnancy.

I fully understand that the recommendations, ideas or techniques expressed and described during pregnancy yoga classes cannot be regarded as a substitute for the advice of a qualified medical practitioner.
Any uses to which the recommendations, ideas and techniques are put are at my sole discretion and risk.

Is this your first post natal yoga session with us? *YesNoIf this is your first time booking a post natal yoga session you will be required to complete a post natal health questionnaire. If you have already booked with us before, please select no and proceed to the next section.

Birthing Experience

Was labour *

Nature of delivery *

Delivery environment *

Any drugs administered during labour *

Was your baby *

Health of baby immediately after birth

Since the birth have you experienced any of the following?Sacroiliac painsBack painsSciaticaHigh blood pressureLow blood pressureAnemiaDepression (including post-natal depression or Puerperal Psychosis)Prolonged BleedingExhaustionDiastasis Recti (separation of the abdominal muscles)OtherPlease tick all that apply

OtherPlease give details

Any dietary requirements/allergies

Prior to this birth, have you suffered any injuries or undergone any surgery that may have some bearing on your yoga practice, if so please give details:

Are you taking any medication that may have some bearing on your yoga practice, if so please give details

Client Declaration *

As far as I am aware, I have disclosed to my yoga teacher all information regarding my health relevant to the practice of post natal yoga.

I take full responsibility for all applications of yoga I practice in the class and outside the class.

I fully understand that the recommendations, ideas and techniques expressed and described during post natal yoga classes cannot be regarded as a substitute for the advice of a qualified medical practitioner.

Any risks to which the recommendations, ideas and techniques are put are at my sole discretion and risk.

Pay & Submit

Course Type: {select-3}

Location / Date: {select-2}{select-7}{select-8}

Amount Due Now

£

Credit / Debit Card *

Important

Please only click the 'Pay Now & Book' button once when submitting the form. Your payment will be processing even if there is a slight delay.

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