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  • Phone Numbers (###-###-####):

  • Check this box if you give Body Design permission to contact you by email/phone/social media.

Registration Options

NEW! I would like to purchase an Unlimited Class Pass. Join over 170 classes/session! All fees listed below include HST:

  • ...or I would like to register for the following Fall 2017 Classes: (Check all that apply.)
+ Yoga Classes
Yoga Stretch AM - Legion Hall, Mondays, 10:00 - 11:00 a.m.
Essential Yoga - Legion Hall, Mondays, 6:30 - 7:30 p.m.
Awakening Yoga - Legion Hall, Mondays, 7:45 - 8:45 p.m.
Beginner Yoga - Mt. Albert Community Centre, Tuesdays, 6:45 - 7:45 p.m.
Yoga Stretch AM - Legion Hall, Wednesdays, 10:00 - 11:00 a.m.
Yoga Stretch PM - Legion Hall, Wednesdays, 6:15 - 7:15 p.m.
Vinyasa for Vitality - Legion Hall, Wednesdays, 7:30 - 8:30 p.m.
Restorative & Relaxing Yoga - Legion Hall, Fridays, 10:00 - 11:00 a.m.
Essential Yoga - Legion Hall, Saturdays, 9:15 - 10:15 a.m.

+ Fitness Classes
Zumba, Mt. Albert Community Centre, Mondays, 6:00 -7:00 p.m.
Ultimate Bootcamp - Mt. Albert Community Centre, Mondays, 7:15 - 8:15 p.m.

+ Small Group Training
Legion Hall, Saturdays, 8:00 - 9:00 a.m.

Method of Payment

Registration deadline Wednesday, September 6.

Section 2 - Medical History

How did you hear about our services?

  • By entering my name here and submitting this form, I give my consent to participate in the Yoga/Fitness Class(es) conducted by Body Design. I recognize that exercise carries some risks to the musculoskeletal system (i.e. sprains, strains) and the cardio-respiratory system (i.e. shortness in breath, dizziness). I hereby certify that I know of no medical problem (or pregnancy) except those noted, that would increase my risk of illness and injury as a result in participating in a regular exercise program. By signing the consent form, I understand that the Yoga/Fitness Class is sold as a whole product and is non refundable. I am personally responsible for my actions with Body Design, I waive responsibility if I should incur any injury as a result of negligence.

  • Please complete the Google Validation below; returning Body Design clients may submit the form now.
    New clients should continue with Section 3 below. Thank you!

Section 3: PAR-Q+ The Physical Activity Readiness Questionnaire

(A Questionnaire for People Aged 15 to 69)

Before taking any Body Design programming, we require a completed PAR-Q form. Please review and complete the following information. By submitting this completed form, you avow: "I have read, understood and completed this questionnaire. Any questions I had were answered to my full satisfaction."

Regular physical activity is fun and healthy, and increasingly more people are starting to become more active every day. Being more active is very safe for most people. However, some people should check with their doctor before they start becoming much more physically active.

If you are planning to become much more physically active than you are now, start by answering the seven questions in the box below. If you are between the ages of 15 and 69, the PAR-Q will tell you if you should check with your doctor before you start. If you are over 69 years of age, and you are not used to being very active, check with your doctor.

Common sense is your best guide when you answer these questions. Please read the questions carefully and answer each one honestly: check YES or NO.

  • If you answered YES to one or more questions: Talk with your doctor by phone or in person BEFORE you start becoming much more physically active or BEFORE you have a fitness appraisal. Tell your doctor about the PAR-Q and which questions you answered YES.

    You may be able to do any activity you want — as long as you start slowly and build up gradually. Or, you may need to restrict your activities to those which are safe for you. Talk with your doctor about the kinds of activities you wish to participate in and follow his/her advice. Find out which community programs are safe and helpful for you.

    If you answered NO to all questions: If you answered NO honestly to all PAR-Q questions, you can be reasonably sure that you can:
    • start becoming much more physically active – begin slowly and build up gradually. This is the safest and easiest way to go.
    • take part in a fitness appraisal – this is an excellent way to determine your basic fitness so that you can plan the best way for you to live actively. It is also highly recommended that you have your blood pressure evaluated. If your reading is over 144/94, talk with your doctor before you start becoming much more physically active.
    • if you are not feeling well because of a temporary illness such as a cold or a fever – wait until you feel better; or
    • if you are or may be pregnant – talk to your doctor before you start becoming more active.

    PLEASE NOTE: If your health changes so that you then answer YES to any of the above questions, tell your fitness or health professional. Ask whether you should change your physical activity plan.

    Informed Use of the PAR-Q: The Canadian Society for Exercise Physiology, Health Canada, and their agents assume no liability for persons who undertake physical activity, and if in doubt after completing this questionnaire, consult your doctor prior to physicalactivity.

    NOTE: If the PAR-Q is being given to a person before he or she participates in a physical activity program or a fitness appraisal, this submission may be used for legal or administrative purposes.

    Note: This physical activity clearance is valid for a maximum of 12 months from the date it is completed and becomes invalid if your condition changes so that you would answer YES to any of the seven questions.