Yoga Intake Form Template for Netherlands

A comprehensive intake form designed for yoga practitioners and studios operating in the Netherlands, compliant with Dutch law and GDPR requirements. This document serves as both an information gathering tool and a legal agreement between yoga service providers and their clients. It includes essential sections for personal information, health history, liability waivers, and data protection consents, while incorporating specific requirements under Dutch consumer protection and healthcare regulations. The form is structured to protect both the service provider and client while ensuring transparent communication and proper risk assessment.

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What is a Yoga Intake Form?

The Yoga Intake Form is a crucial document for yoga service providers operating in the Netherlands, designed to meet both practical and legal requirements. It serves as the initial point of contact between yoga providers and new clients, collecting essential information about the client's health status, physical condition, and personal details. The form incorporates specific elements required by Dutch law, including GDPR compliance for data protection, appropriate liability waivers, and necessary medical disclaimers. This document should be used before commencing any yoga services, whether in a studio setting, private practice, or corporate wellness program. It helps identify potential health risks, establishes clear communication channels, and creates a legal framework for the service relationship while protecting both parties' interests.

What sections should be included in a Yoga Intake Form?

1. Personal Information: Basic contact details including name, address, phone, email, emergency contact, and date of birth

2. Health Questionnaire: General health status, current medical conditions, injuries, surgeries, and medications that might affect yoga practice

3. Physical Activity History: Previous yoga experience, current exercise routine, and general physical activity level

4. Lifestyle Information: Occupation, stress levels, and primary goals for practicing yoga

5. Medical Disclaimer: Statement acknowledging that yoga is not a substitute for medical treatment

6. Liability Waiver: Legal waiver of liability compliant with Dutch law

7. GDPR Consent: Explicit consent for data processing and storage as required by GDPR

8. Terms and Conditions: Studio policies, cancellation rules, and payment terms

9. Declaration: Client's confirmation that all provided information is accurate and agreement to all terms

What sections are optional to include in a Yoga Intake Form?

1. Pregnancy Information: Additional section for pregnant participants, including due date, physician approval, and pregnancy-specific health questions

2. Chronic Condition Management: Detailed section for participants with chronic health conditions requiring special attention

3. Photo/Video Release: Optional consent for use of photos/videos in studio marketing

4. Newsletter Subscription: GDPR-compliant opt-in for marketing communications

5. Private Class Preferences: Section for clients interested in private sessions, including preferred times and specific goals

What schedules should be included in a Yoga Intake Form?

1. Schedule A: Detailed Medical History Form: Comprehensive medical history questionnaire for clients with specific health concerns

2. Schedule B: Studio Rules and Guidelines: Detailed explanation of studio protocols, etiquette, and safety guidelines

3. Schedule C: Privacy Policy: Detailed GDPR-compliant privacy policy explaining how personal data is collected, stored, and processed

4. Schedule D: Class Descriptions: Information about different yoga styles and levels offered to help clients make informed choices

Authors

Alex Denne

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

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Download a Standard Yoga Intake Form

Review your own Yoga Intake Form

What is a Yoga Intake Form?

What sections should be included in a Yoga Intake Form?

What sections are optional to include in a Yoga Intake Form?

What schedules should be included in a Yoga Intake Form?

Authors

Alex Denne

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