Yoga Studio Client Check-in Form
Please complete this form to check in for your yoga class. Your information helps us ensure your safety and a great experience.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which class are you attending today?
*
Please Select
Hatha Yoga
Vinyasa Yoga
Yin Yoga
Restorative Yoga
Power Yoga
Other
Date of Class
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Are you a current member or a guest?
*
Current Member
Guest/Drop-in
First-time Visitor
Please indicate if you have any of the following conditions:
*
Recent injury or surgery
Chronic pain
Pregnancy
Heart condition
None of the above
Other (please specify)
Emergency Contact Name
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
How did you hear about us?
Please Select
Friend/Family
Social Media
Online Search
Walk-in/Passerby
Other
Is there anything else you would like your instructor to know? (optional)
Signature (please sign to complete your check-in)
*
Check In
Check In
Should be Empty: