Lumaia by Charlie Speller-Forrest Yoga-Pelvic Floor Health-Prenatal Yoga-Postnatal Yoga-Energetic Healing
  • Home
  • Yoga
    • Yoga Classes
    • Private Yoga
    • Yoga Teacher Training >
      • Forrest Yoga Mentorship
      • Yoga For Pelvic Floor
      • Poppy Perinatal Yoga
    • Yoga Workshops
    • Perinatal Yoga
    • Online Yoga
  • Bodywork
  • HEALTHY PELVIS
  • Contact
  • About
  • Health Form
  • News/blog

YOU & YOUR TEACHING

    Forrest Yoga Mentorship Programme (FYMP) — Intake form

    Before we work together, I'd like to know more about you!... Your current and past health conditions and/ or injuries and your teaching experience. All of this information is confidential, if you prefer to email me your information, get in touch. 

    1. Your contact information
    2. Your emergency contact (friend/family member etc)

    3. General information about you
    4. Your general health
    5. If you have a uterus, please answer the following questions. People with a penis, you can go directly to the next section...
    6. Yoga training
    7. The legal bit
    By submitting this form I acknowledge that I have shared information to the best of my knowledge. I agree to take responsibility for myself during each session with Charlotte Speller. I agree for my details to be used by Charlotte Speller for marketing and communication purposes only. I understand that my personal information is confidential and will never be shared with any third parties without my consent!

    IMPORTANT: During yoga classes from time to time, I may record or take photos for education or marketing purposes. If for any reason you do not consent to this, please get in touch. When participating in trainings online, the content is recorded for participants to access for a limited time after the training. The training may also be sold separately, in such cases, content will be reviewed and any content deemed personal shall be removed from the recording.  

    ​
    I am really looking forward to us working together soon!
    ​LOVE Charlie
Submit
LUMAIA
About
Forrest Yoga
Bodywork
Yoga Classes
Yoga Workshops
Private Yoga
Hot Yoga


MORE
Store
Essential Oils
Reiki
Shamanic Healing
SOCIAL
Facebook
Twitter
​Instagram
YouTube
SITE INFO
Terms of Service
Privacy Policy
Copyright 2022, Lumaia. All rights reserved.