Declaration of health

Full Name *

First

Last

Have you ever had any surgery? *

Which one?

Do you use any medication? *

For What?

Any particular pain/limitation? *

Are you prengnant, have you had high or low blood pressure, had a cardiovascular problem, or are you having a fever? *

Do you drink water regularly? *

Do You Smoke? *

alcohol? *

Any cardiovascular problems? *

Any allergies? *

Emergency contact: *

Phone *

Observação *

I declare that I am aware of the risks involved in practicing Yoga and experiences that are an integral part of the course, and that I am in perfect health conditions (physical and mental). Any damages they may cause me are entirely my responsibility. I am aware that the IYogaYou School, its directors, as well as its professors and invited professionals, are exempt of any responsibility