Winter Renewal with iRest® : A 6-week Series

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Please complete this form to register for the upcoming series. Following completion of this form, you will need to send payment via one of the two options indicated. Once payment is received, you will receive an invite with zoom link for the entire series.

Please contact Jen directly with any questions. If you would like to request a reduced fee, please contact Jen via email or note it as a question on this form.

Name *

Address *

City, State ZIP *

Mobile Phone Number *

I am interested in this series because I'd like to *

Experience and learn more about iRest

Relieve stress and anxiety

Create more resilience

Improve sleep

Experience more peace and ease in my life

Other:

Required

I would describe my experience with mindfulness meditation (any form) as *

NEWBIE : I've meditated only a few times or not at all

DABBLER : I've tried meditation a few times

SOMETIMER : I practice sometimes, off/on or inconsistently

MEDITATOR : I practice consistently, most days

I am a current client or student of Jennifer Anderson. *

Yes

I prefer to pay for the series ($155) utilizing *

Venmo (@Resilience-Yoga)

Check (made out to Resilience Yoga Therapy)

Please share any questions.

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