Online Class Screening Form Please enable JavaScript in your browser to complete this form.Name *FirstLastAddress *Tel : *Date of BirthHave you attended yoga/pilates before? *YesNoPlease list any ailments and/or injuries that you have *What would you like to get from yoga?I have consulted my doctor and am in a fit state to participate in yoga. I understand that Gráinne Murphy will hold no liability in the event of injury *YesNoPlease indicate if you would like an occasional text about classes/workshopsYesNoSignature *Submit
