Children's Yoga Registration & Consent Form

Child's Details

Child's full name

Date of birth

Age

Filled in automatically from the date of birth.

Preferred name (if different)(optional)

Parent/Guardian Details

Parent/Guardian name

Relationship to child

Address

Postcode

Mobile number

Alternative contact number(optional)

Email address

Emergency Contact

Someone we can reach if you are unavailable.

Same as the parent/guardian details above

Name

Relationship to child

Telephone number

Medical Information

Does your child have any medical conditions?

YesNo

Is your child currently taking any medication?

YesNo

Does your child have any allergies?

YesNo

Does your child have any physical injuries, disabilities or additional support needs I should be aware of?

YesNo

Anything else that may help me support your child safely during yoga classes(optional)

Health Declaration

I confirm that my child is fit to participate in children's yoga classes.

I understand that I should inform the instructor of any changes to my child's health or medical circumstances before attending classes.

Parent/Guardian initials

Photography & Video Consent

From time to time photographs or short videos may be taken during classes for promotional purposes (website, social media and printed materials).

Please choose one option

I give permission for my child to be photographed and/or filmed.I do not give permission for my child to be photographed and/or filmed.

I understand that my child's name will never be published alongside photographs.

First Aid & Emergency Consent

In the event of an accident or medical emergency, I authorise the instructor to administer basic first aid where appropriate and to seek emergency medical treatment if required.

I understand that every effort will be made to contact me or my emergency contact immediately.

Parent/Guardian initials

Participation Consent

I understand that children's yoga is a physical activity involving movement, stretching, balance and relaxation.

I acknowledge that while every reasonable precaution is taken to ensure safety, participation is at my child's own risk.

I confirm that I have informed the instructor of any relevant medical conditions or additional needs.

Parent/Guardian initials

Behaviour Expectations

To help create a safe, enjoyable and respectful environment for everyone, children are expected to:

Be kind and respectful to others.
Follow the instructor's guidance.
Treat equipment with care.
Participate safely.

If a child's behaviour presents a risk to themselves or others, parents will be informed and appropriate action may be taken.

Parent/Guardian initials

Data Protection (GDPR)

Your personal information is collected solely for the safe administration of children's yoga classes.

Your information will be stored securely and will not be shared with third parties unless required by law or in the event of a medical emergency.

You may request access to your personal information or ask for it to be corrected or deleted at any time, subject to legal record-keeping requirements.

Consent

I confirm that:

The information provided on this form is accurate.

I have read and understood the information above.

I consent to my child taking part in children's yoga classes.

Child's name

—

Parent/Guardian name

—

Signature — type your full name

Typing your name here counts as your electronic signature. It must match the parent/guardian name above.

Date

Today: 05 August 2026

Your answers stay on your device — the PDF and Word file are generated in your browser.