New Student

Welcome! Please fill out the form below for each student that will taking lessons with Elizabeth.

New Student Form

Name

Age

Phone Number

Gender

Male

Female

Why are you interested in private yoga lessons?

Describe your previous yoga experience.

How often do you exercise? Please list physical activities that you regularly participate in.

Describe your general health.

Please list any injuries or diagnoses that you currently have.

Are you interested in private individual or private group lessons? If group, please have all individuals complete this form

What days/times are best for you to meet?

Liability Waiver

I acknowledge and accept that any physical activity, risk of serious physical injury is possible; that yoga is no substitute for medical diagnosis and treatment; that yoga practice and/or specific poses are not recommended for individuals with certain conditions (e.g., cardiac illness, later stages of pregnancy, post-surgery); and that the student assumes the risk of yoga practice and releases Elizabeth Ryan from any liability claims.