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, 10 week blocks for $150. Once your block is up you are then invited to renew your block alongside each month of your pregnancy

Classes run on Thursday’s at 6pm – 7pm at the Shotover Primary School. Please bring your own mat however if you need to borrow one please let us know before class and we can arrange this. Please also feel free to bring any props to make yourself 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 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 give consent for my images and videos to be used on the SoulJuice social media and for advertisement purposes. 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.

Souljuiceyoga@gmail.com | +64 211589796

Prenatal Yoga Sign Up& Waiver

Waiver Sent!

Prenatal Yoga Sign Up
& Waiver