Private Yoga Class Intake Form

Thank you for your interest in a private yoga class! I look forward to reading your responses. You will receive an email response within 2 business days.

Name(required)

Email(required)

Phone Number

Message

Please indicate which date you are interested in:(required)

Please let us know if you have a favorite posture, an area that needs some extra attention, or if there is something specific you are hoping to experience that we can incorporate into the class:(required)

Do you have any physical injuries or limitations?(required)

Please share any other details you think are important!

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