Important information Yoga positions and classes may pose difficulties for persons with some disabilities or medical conditions. Female students if menstruating, pregnant or trying to conceive are also advised to avoid certain postures and activities. In the interests of your wellbeing, you should always seek qualified medical advice from your General Practitioner or consultant if you are pregnant, trying to conceive, or have a medical condition or disability which might affect your ability to practise Iyengar yoga. Membership Whether you are an existing or new student we recommend that you discuss privately with your class teacher whether the class you wish to attend is suitable for you. The Iyengar Yoga Institute Maida Vale takes seriously its obligation to treat people with disabilities fairly and to make reasonable adjustments. However, not all our teachers are qualified to a sufficient level to teach persons with disabilities and we may not have a suitable teacher available. DECLARATION (Please complete A or B) A I consider myself to have a disability or medical condition and have sought qualified medical advice and been told I may practise Iyengar Yoga and similar strenuous physical activities. The following adjustments are required: B I do not suffer from any condition which could affect my ability to practise Iyengar Yoga and similar strenuous physical activities. I accept that failure to disclose a pre-existing condition or making a false declaration can result, in the case of an accident or injury, in the denial of liability except where IYIMV its officers, agents or employees have been negligent. Signed Date Please print and sign this form and bring it with you to the Institute. You may also save a copy of this form to your computer and send it to the Institute by email. You will be required to sign the form on your arrival. Iyengar Yoga Institute Maida Vale 223a Randolph Avenue Maida Vale London W9 1NL 020 7624 3080 [email protected] www.iyi.org.uk About Membership Membership Form As a Member you are eligible for discounted classes at our historic building which was the first purpose-built yoga studio in Europe. It is also where BKS Iyengar, known as the father of modern yoga, called his home in the UK. We ensure our Members are taught by the most experienced teachers in the country and are proud to uphold internationally recognised standards for Iyengar yoga teaching and study. First Name Last name Address Post code Running the Institute as a Membership organisation means we can keep the prices of our classes and events low. We offer Members’ rates on all classes plus priority booking with reduced rates on all events and workshops. Find details about our prices and Member rates on our website. (Please print clearly) City Telephone Email Emergency contact name and number We are a charitable, not-for-profit organisation and are run by an elected Board of Trustees. After one year of membership, Members can stand for a position on the Board and vote at our general meetings. As a Member you will receive our annual journal ‘Dipika’ with advice and insights into yoga plus regular newsletters. Male / Female (delete as appropriate) D.O.B How did you hear about the Institute? Save with Annual Membership subscription rate: £55 per year We offer Annual and Three Month Membership. If you plan to come to yoga twice a month or more it is better value to take out Membership for a full year. [ ] Tick here if you do NOT want to get class updates, offers and newsletters from IYIMV by email Annual Membership Three Month Membership £55 £25 £25 for 3 months credit card or cash payment only IYIMV agrees not to release your details to any external party without first seeking your permission. The information on this form is collected, stored and processed for the purposes of IYIMV membership or company administration. IYIMV does not sell or exchange membership lists with other organisations. PLEASE TURN OVER Office use only Payment details Terms and Conditions: Memberships are non-refundable and cannot be extended. Late renewals are backdated. Visitors are welcome to attend drop-in to classes for up to one month before taking out Membership. Subscription Cash CC Payment date £25 £55 Membership details Membership number New Renewal This start date This expiry date Restart
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