Prenatal Yoga Sign Up & Waiver

Prenatal Yoga Sign Up
& Waiver

Fill out the form below to sign up to our Prenatal Yoga classes! – A member of the SoulJuice team will be in touch to confirm your booking.

To join this class you must be in your second trimester 13weeks+.

Classes run in termly blocks for $180, or $25 drop in. $300 if you would like to sign up to both classes for the term.

Please be mindful if you decide to do drop in sessions these classes have limited number of spaces available so pre booking is essential.

Classes run on a Monday & Wednesday at 6:30pm – 7:30pm from my home studio underneath the Shotover Bridge. Once sign up directions will be shared via email. Mats and Props and provided. Please feel free to bring anything to make yourself even more comfortable.

First Name

Last Name

Phone Number

Due Date

Weeks Pregnant

Emergency Contact Name

Emergency Contact Phone Number

Midwife’s Name

Midwife’s Phone Number

Injuries, limitation, during or before pregnancy and any complications during pregnancy the instructor should know about. Has your doctor or midwife recommended any precautions prior to starting this yoga practice?

Message to the team, what date would you like to join the class from?

I understand that I will be taking part in a prenatal yoga class through SoulJuice. I, the name stated above, understand that yoga requires physical movement and body exertion which can result in accident or physical injury. I accept, that any yoga instructor, nor the hosting facility, SoulJuice, is liable for any injury, accident, damage to myself, my baby or my belongings. I undertake the risk and responsibility of personal injury, and I hereby release SoulJuice Yoga and its instructors, from any liability now or in the future. I, the name stated above, understand that yoga cannot be used as a substitute for medical attention, diagnostics or treatment. I should consult a doctor prior to starting this prenatal yoga program. I, the name stated above, recognise that it is my responsibility to inform the instructor of any illness, injuries or pregnancy related complicated before every yoga class. I will not preform any yoga postures that cause pain or strain. I have enrolled in a program of physical activity. I hereby affirm that I am in good physical condition. My doctor is aware that I am participating in prenatal yoga. I understand that yoga is a physical practice that requires strength and flexibility. I hereby affirm that I have read and fully understand the above. In addition, I have read and accept the class policies stated above.

Yes, I, the name stated at the top, agree to the above statement.

Do you give consent for your images and videos to be used on the SoulJuice (and accompanying business Mamas. Village) social media pages and for advertisement purposes.

Yes No

What Day/s Are You Hoping To Attend?

Monday Wednesday Both

Souljuiceyoga@gmail.com | +64 211589796

Prenatal Yoga Sign Up& Waiver

Waiver Sent!

Prenatal Yoga Sign Up
& Waiver