Welcome to Save Your Soul Society(SYSS)

Save Your Soul Society

Welcome to Save Your Soul Society (SYSS).

Phone: +44 7079 480480
Email: saveyoursoulsocietyderby@gmail.com
Address: Head office: 97 Walbrook Road Derby DE23 8SF

Welcome to Save Your Soul Society (SYSS)

Your donation helps us continue our mission. Every contribution makes a difference!

Member Registration

Indus Dynamic Yoga- Registration Form

Name

Date of Birth

Address

Mobile Tel

Emergency Contact Name

Emergency Tel

Occupation

Indus Dynamic Yoga class will contain postures, breathing, relaxation & meditative techniques. Please indicate if you have any medical conditions below.

Please indicate if you have any of the following conditions:

Diabetes

Heart condition (history of heart attack, angina, etc.)

High blood pressure

Low blood pressure

Joint condition (knee, hip, shoulder, etc.)

Arthritis

Back or spine conditions (Spondylitis, Scoliosis, Sciatica, etc.)

Pregnancy

ME/MS

Depression

Abdominal surgery (last 3 years) or Hernia

Epilepsy

Please give specific details if you have any of the above: