Om Factory Private Session Request
Please fill out this form with as much information as possible so that we can best answer any questions you have, and assist you in booking a private session.

Please allow 2-3 business days to process your request. If your request is within 48 hours, call our studios directly to speak with a staff member.

Please Note: This form is NOT a confirmation of booking.
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First Name *
Last Name *
E-mail Address *
Phone Number *
Preferred Date and Time *
If this date and time is not available, we will offer you an alternative close to your preference
MM
/
DD
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Time
:
Flexibility *
Required
If my preferred time isn't available, the following time slots might also work for me
9AM
10AM
11AM
Monday
Tuesday
Wednesday
Thursday
Friday
Clear selection
2:15PM
3PM
Tuesday
Thursday
Clear selection
4PM
Tuesday
Clear selection
2:15PM
2:30PM
Friday
Clear selection
7PM
Saturday
Clear selection
Type of Private *
Preferred Teacher
This teacher may not be available to teach your private, and teacher is subject to change.
I would like my private to be... *
ie. Vigorous, Gentle/Mellow, Acrobatic, Restorative, Flowing, Flow & Mellow, etc.
My goals for this private are... *
ie. To have fun, to build up to a group class, to become stronger, to become more flexible, etc.
Level of Private *
Number of participants *
Participants? *
If Kids are participating, any under age 13?
Clear selection
Yoga/Movement background of the participants *
Special Requests
ie. Party, Theme, Music, Injuries, Pregnancy, Special Needs, etc.
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