Your Yoga Session,

Time to Relax

Take a Moment

So that our wonderful Yoga Instructor can review your needs ahead of your upcoming session, please take a few moments to complete the consultation form below.

This helps us understand any individual requirements more fully so that we can tailor your session where applicable.

Upon completion of the form a copy will be sent directly to our yoga instructor who is unable to proceed with your yoga session without this information.

Please complete at least 24 hours prior to your treatment. Thank you.

"*" indicates required fields

Yoga Session Date (as confirmed on your email)*

Which Yoga Class would you like to experience?*

Rest & Restore

Energise & Emerge

Family Flow

Your Name*

First Last

Your Email*

Name of your Emergency Contact*

First Last

Phone Number for your Emergency Contact*

A Bit About You

Please list any relevant health issues below.*

For example; blood pressure issues, injuries, heart problems, glaucoma, back/neck issues etc. It is important that you check with your Doctor prior to our session, if you are unsure if Yoga is suitable for you.

Is there anything else you think we should know regarding your health?

Please let me know if you are pregnant, breastfeeding or taking any medication that may affect your Yoga practice.

Do you have any phobias or fears that may affect the choice of visualisation or breathing exercises?

Have you practised Yoga before?*

Yes

No

If yes, for how long and what type of Yoga was it?

Why do you wish to begin or continue a Yoga practice?*

What would you like to get out of the session?

Please let me know the ages of the children joining the session?*

Yoga is not competitive. Always listen to your own body as you know it best. Please note you are practising Yoga at your own risk and are fully responsible for your own health and safety throughout the class. Please wear comfortable clothing you can move easily in and to try not to eat a heavy meal 2 hours before your session. Thank you for taking the time to fill out this form.

Points to Remember

Yoga is not competitive. Always listen to your own body as you know it the best. Please note you are practising Yoga at your own risk and are fully responsible for your own health and safety throughout the class.

It is recommended to wear comfortable clothing you can move easily in and to try not to eat a heavy meal 2 hours before practice.

Thank you for taking the time to fill out this form.

Experiences

'This secret garden hotel outside Stoke-on-Trent delivers a fairytale fantasy for nature lovers. A 70-acre estate of tumbledown follies and soft-focus flower borders has been resuscitated by two local couples who played here as children.

With sustainability centre stage, they’ve assembled accommodation from shepherds’ huts to swanky hillside treehouses, and added a split-level restaurant and woodland spa to give forest bathing an epic Cleopatra twist.'

Susan d'Arcy
Sunday Times Best Places to Stay 2023

Your Yoga Session,

Time to Relax

Take a Moment

Please complete at least 24 hours prior to your treatment. Thank you.

A Bit About You

Points to Remember

Experiences

Full Moon Ritual

The Morning Ritual

The Gardener’s Tour

Flow and Restore

Countryside Escape

Three AA Rosettes

Outdoor Spa Bath

Raku Pottery Experience

Foraging at The Tawny

Pilates and Plunge

The Tawny Hotel, Consall Ln ST9 0AG

WEB DESIGN STAFFORDSHIRE