Eden Yogawith Tina
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Welcome to Eden Yoga

欢迎来到 Eden Yoga

Welcome to Eden Yoga, a private, women-only yoga studio offering personalised sessions in a small and welcoming environment.

Before your first session, we’d like to learn a little about you so Tina can plan a safe, comfortable and more personalised practice.

欢迎来到 Eden Yoga,一个女性专属的私享瑜伽空间,通过小班及个性化指导,为女性提供舒适、安心且更有针对性的练习体验。

第一次上课前,我们希望先简单了解你的情况,帮助 Tina 更安全、更舒适地为你安排适合的练习。

Privacy first.我们重视你的隐私。 This form includes health information. We only ask for information reasonably needed for class safety and personalisation. 本表包含健康相关信息。我们只收集为课程安全及个性化指导所合理需要的信息。

Your information is collected by Eden Yoga for client onboarding, safety, class planning and record keeping. It is not used for marketing without separate consent. Our technology provider is Cloudflare; information may be processed using infrastructure outside Victoria. You can request access or correction. See our Privacy Policy.

Eden Yoga 收集这些信息仅用于新学员登记、课程安全、课程安排及必要的记录管理。未经另行同意,我们不会将这些健康信息用于营销。我们的技术服务商为 Cloudflare,信息可能通过维多利亚州以外的基础设施进行处理。你可以申请查阅或更正自己的信息。详见《隐私政策》。

Basic information

基本信息

Select your date of birth.
请选择您的出生日期。

Health information

02 | 身体健康状况

Understanding your current and past physical condition is important to Eden Yoga. Please select any that apply.

了解您的身体状况对 Eden Yoga 非常重要 🌿
请根据您目前或过往的身体状况进行选择。

Do you currently have, or have a history of, any of the following? *您目前是否有以下情况或相关病史?*

Allergies & environmental sensitivities 🌿

03 | 过敏与环境敏感 🌿

Eden Yoga may use fragrance, essential oils, tea or cleaning products in the studio environment. We will make reasonable adjustments based on the information you provide.

Eden Yoga 可能根据课程环境使用香氛、精油、茶饮或清洁用品。
我们会根据您提供的信息尽可能进行相应调整。

Do you have any known allergies or sensitivities? *您是否有已知过敏或敏感情况?*

Your movement & yoga experience

04 | 您的运动与瑜伽经验

Have you practised yoga before? *您之前接触过瑜伽吗?*
What types of exercise do you usually do?您平时有哪些运动习惯?

What I’d like to improve through yoga…

05 | 我想通过瑜伽改善……

Select all that match your goals. Tina can use this to make your practice more relevant to you.

请选择所有符合您的目标,我们会根据您的情况提供更有针对性的练习建议。

Posture & alignment

改善体态与仪态

Relieve soreness & discomfort

缓解身体酸痛与不适

Mind, wellbeing & quality of life

身心调节与生活品质

Fitness & body conditioning

体能与塑形

For example: postpartum recovery, sports performance, flexibility or work-related stress.
例如:产后恢复、提升运动表现、改善柔韧性、缓解工作压力等。

Hands-on Adjustment Consent

06 | 身体触碰与辅助调整

In some classes, Tina may use appropriate physical touch (Hands-on Adjustment) to help you understand a movement, adjust positioning or support safer practice.

在部分课程中,老师可能会通过适当的身体触碰(Hands-on Adjustment),帮助您理解动作、调整体位或提升练习安全性。

Whether you accept physical touch is entirely your choice. Your decision will not affect your class experience. Even if you consent here, you can change your mind at any time, decline an individual adjustment, or ask Tina to stop immediately.

是否接受身体触碰完全由您决定。无论您选择哪一项,都不会影响您的课程体验。

即使您在此选择同意,您仍然可以在任何时候改变决定、拒绝某一次调整,或要求老师立即停止身体触碰。

For Hands-on Adjustment, I choose: *对于 Hands-on Adjustment,您的选择是:*

Informed Consent, Risk Warning & Release of Liability

07 | 练习知情同意、风险声明与法律免责声明

Please read the following carefully before signing or submitting.

请在提交或签署前仔细阅读以下内容。
Please read the following carefully before signing or submitting.

1. Health Information

1. 健康信息与声明 / Health Information

Yoga and movement activities involve physical exertion and may involve risks including strains, sprains, falls, aggravation of an existing condition and, rarely, more serious injury. Please work within your own limits, follow instructions, and tell Tina promptly if you experience pain, dizziness, shortness of breath or feel unwell. If you have concerns about whether yoga is suitable for you, seek advice from an appropriately qualified health professional before participating.

瑜伽及相关运动会涉及身体活动,可能存在拉伤、扭伤、跌倒、原有身体状况加重,以及在少数情况下发生更严重伤害等风险。练习时请根据自身能力量力而行,遵循老师指导;如出现疼痛、头晕、呼吸不适或身体不适,请立即告知 Tina。如你对自己是否适合参加瑜伽练习存在疑虑,请在参加前咨询具备相应资质的医疗或健康专业人士。

WARNING UNDER THE AUSTRALIAN CONSUMER LAW AND FAIR TRADING ACT 2012

If you sign this form, you will be agreeing that your rights to sue the supplier under the Australian Consumer Law and Fair Trading Act 2012 are excluded, restricted or modified in the way set out in this form, if you are killed or injured because the services provided were not in accordance with the statutory guarantees outlined below.

Under the Australian Consumer Law (Victoria), several statutory guarantees apply to the supply of certain goods and services. These guarantees mean that the supplier named on this form is required to ensure that the recreational services it supplies to you—

  • are rendered with due care and skill; and
  • are reasonably fit for any purpose which you, either expressly or by implication, make known to the supplier; and
  • might reasonably be expected to achieve any result you have made known to the supplier.

Under section 22 of the Australian Consumer Law and Fair Trading Act 2012, the exclusion of these statutory guarantees is brought to your attention by this form.

NOTE: The change to your rights, as set out in this form, does not apply if your death or injury is due to gross negligence on the supplier's part. Gross negligence, in relation to an act or omission, means doing the act or omitting to do an act with reckless disregard, with or without consciousness, for the consequences of the act or omission. See regulation 5 of the Australian Consumer Law and Fair Trading Regulations 2012 and section 22(3)(b) of the Australian Consumer Law and Fair Trading Act 2012.

Important: The statutory warning above is shown in English so the wording is not altered.

重要: 上述法定警示保留英文原文,以避免改变规定用语。

Declaration & electronic signature

确认与电子签名

By entering your name and submitting, you intend to sign this form electronically.
输入姓名并提交本表,即表示你有意以电子方式签署本表。

The submission will record the date/time and the versions of the privacy notice and waiver presented to you. We do not intentionally store your IP address with your client record.

提交时会记录日期/时间,以及你所看到的隐私说明和风险/免责文本版本。我们不会有意将你的 IP 地址与客户记录一同保存。

✓

Thank you

谢谢你

Your form has been submitted securely. You’ll be returned to Eden Yoga shortly.

你的表格已安全提交。页面将很快返回 Eden Yoga 首页。

Return to Eden Yoga返回 Eden Yoga