Yoga for the Pelvic Floor
The following questions help me to get to know you and to make sure that the classes will be a good fit. If you have any questions, please feel free to reach out to me: amy@ladleandlotus.com

***This workshop is open to bodies with uteri and ovaries***

Event Timing: Second Tues of the month 9/12, 10/10, & 11/14. 9-10:30am PST
Event Location: Online via Zoom (link sent out ahead of time)
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Full name *
Email *
Phone number *
What is the best way to reach you? *
Have you taken the Yoga for the Pelvic Floor introductory workshop or Pelvic Floor Yoga Classes with Amy? (not required, but helpful) *
What are you hoping to gain from these classes? (optional)
Anything that you'd like me to know ahead of time? (optional)
Which session(s) would you like to enroll in?
Once enrolled you will also have access to a recording of that session for a month afterwards.
 *
Required
The classes are $25 each. How do you wish to pay? *
I understand that although nutrition, movement, and lifestyle recommendations can be very therapeutic and beneficial it is not a substitute for a medical or psychological examination, diagnosis and/or treatment. I agree to assume full responsibility for any risks, injuries, or damages, known or unknown, which might occur as a result of participating in any programs or recommendations made. Since recommendations are based on the information I provide, I affirm that I have answered all questions truthfully and agree to keep Amy Hillman-Siracusa updated as to any changes in my condition. *
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