Yoga Intake Form

Yoga Intake Form Template for Canada

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Key Requirements PROMPT example:

"I need a comprehensive Yoga Intake Form for my new hot yoga studio opening in Vancouver in March 2025, with extra emphasis on health screening and liability waivers due to the high-intensity nature of hot yoga classes."

Document background

The Yoga Intake Form is an essential document for yoga studios and independent instructors operating within Canadian jurisdiction. This form serves as the primary tool for gathering crucial information about new clients before they begin their yoga practice. It includes sections for personal information, health history, emergency contacts, and liability waivers, all structured to comply with Canadian federal and provincial regulations, including PIPEDA and relevant health information protection acts. The document is designed to protect both the service provider and client by ensuring proper health screening, informed consent, and clear communication of risks and policies. It should be completed by all new clients before participating in any yoga classes or sessions, and updated periodically to maintain accurate health and contact information.

Suggested Sections

1. Personal Information: Client's basic details including name, contact information, date of birth, and preferred contact method

2. Emergency Contact Information: Name, relationship, and contact details for emergency situations

3. Health History: Current health conditions, past injuries, surgeries, medications, and ongoing treatments that might affect yoga practice

4. Physical Activity Readiness: Questions to assess whether the client should consult a healthcare provider before beginning yoga practice

5. Yoga Experience: Previous yoga experience, current practice level, and specific goals or areas of interest

6. Acknowledgment of Risks: Statement of understanding regarding potential risks associated with yoga practice

7. Liability Waiver: Legal waiver releasing the studio/instructor from liability for injury or damage

8. Photo/Video Release: Permission to use photos or videos for promotional purposes

9. Privacy Policy Acknowledgment: Confirmation of understanding how personal information will be collected, used, and protected

Optional Sections

1. Pregnancy Information: Additional health questions and considerations for pregnant participants

2. Special Requirements: Space to note any specific accommodations needed for physical limitations or medical conditions

3. COVID-19 Declaration: Health screening and acknowledgment of COVID-19 related protocols and risks

4. Private Session Preferences: For studios offering private sessions, preferred scheduling and specific focus areas

5. Payment Authorization: For studios requiring recurring payments or membership options

Suggested Schedules

1. Schedule A: Studio Policies: Detailed policies regarding cancellations, make-up classes, and studio etiquette

2. Schedule B: Health Questionnaire: Detailed medical history form for clients with specific health concerns

3. Schedule C: Class Descriptions: Detailed descriptions of different yoga styles and levels offered

4. Appendix 1: PAR-Q Form: Physical Activity Readiness Questionnaire for additional health screening

5. Appendix 2: Privacy Policy: Detailed privacy policy explaining how personal information is handled

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok��˰� | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co

Relevant legal definitions

Clauses

Relevant Industries

Health and Wellness

Fitness

Recreation

Sports and Athletics

Alternative Medicine

Personal Services

Education and Training

Relevant Teams

Legal

Operations

Client Services

Wellness

Registration

Administration

Risk Management

Compliance

Front Desk

Marketing

Relevant Roles

Yoga Instructor

Studio Owner

Wellness Center Manager

Fitness Facility Director

Health and Safety Coordinator

Client Relations Manager

Registration Coordinator

Legal Compliance Officer

Risk Management Specialist

Personal Trainer

Wellness Program Coordinator

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