Wild Wolf Movement - Private Sessions Application form - 121 or 122 Yoga - Online
Thank you for your interest in private yoga sessions with Wild Wolf Movement.

Sessions are offered online in blocks of 6 x 1 hour classes to give you chance to establish a routine and see the benefits and effects of your practice. Each session is tailored completely to your preferences and can combine elements of: asana (physical postures and movement) pranayama (breathwork) dhyana (meditation) dharana (focus, mindset).

What's Included

~ Initial consultation call
~ 6 x live 1 hour sessions conducted over zoom tailored to your needs
~ Access to class replay to re-watch and use between live sessions
~ Follow up emails with 'homework' between sessions if desired

Investment

£250 for a 6 session block - 6 x 1 hour sessions (valid for 4 months) - payable in full upon booking.

How to Book

1. Complete this application form with all your details and goals so I can get a better idea of how to help you on your yoga journey & email me to let me know ~ I will then send you an invoice.

2. Pay your invoice.

3. We arrange your consultation call (up to 20 mins) to talk about your goals and hopes for our time together.


Previous Student Feedback

"Peter and I really enjoyed our time with you. It was so lovely to have that time carved out for us. Even better when we could both see progress from start to finish.  

I really do think you are a fantastic teacher. You have a wonderful temperament, patience and open mind. You have a sharp perception even through my terrible webcam to make constructive comments about my technique and suggest adjustments, that I don’t feel at all limited doing sessions over zoom as opposed to in person." ~ Natasha


"Marie is a wonderful teacher, very knowledgeable, full of encouragement and most importantly, incredibly patient! We started with chair based yoga and have progressed to more mat based poses, but still use a chair as and when needed, mainly for balance.

I’m amazed at how much I have learnt in the last few months and I intend to continue my one to one sessions for the foreseeable future, as I can’t imagine not doing them! A bad day is quickly turned around after an hour with Marie; yoga has really helped with my mental wellbeing as well as my physical health.

If, like me, you’ve always wanted to try yoga but have been put off because of your size or age, please don’t be! I’m living proof that yoga is for every body, and I can’t recommend Marie enough to help start you on your yoga journey!" ~ Karen


Contact Information & Health
Name *
Email *
Phone number
Emergency contact details
The following information is required to ensure your health. Whilst yoga may be practiced safely by most people, there are certain conditions that require special attention. If you are unsure whether to take part in a yoga session, please consult your GP before commencing class. Please indicate in the boxes below whether or not you have any of the following medical conditions and then provide further information. These conditions require specific modifications to your yoga practice (tick as many as apply): *
Required
Please provide more info (or NA): *
These conditions may affect your practice & are useful for the teacher to be aware of, tick as many as apply and feel free to provide more info: *
Required
Further information:
Please indicate in this box if you do not wish to declare medical information. Please be aware that your yoga teacher cannot give any modifications or alternatives that may be appropriate, for conditions that have not been declared.
Have you had any recent operations in the last two years? *
Do you have any old injuries which still trouble you or other medical issues not covered that could be adversely affected by yoga? *
Are you pregnant or have you given birth in the last six weeks? *
Do you participate in other physical activity & how often?
Current Yoga Habits
Have you practiced yoga before? If yes what styles & for how long? *
What elements of the practice do you struggle with and which do you enjoy?
 *
What time do you prefer to do your self practice? Mornings evenings etc.
 *
What is your preference as to when you'd like to practice together? Please specify options Tues-Sat
 *
Goals and expectations
What element of your yoga practice would you like to focus on the most during our time together? E.g, physical - strength, flexibility, mental/emotional - supporting mental and emotional health, finding calm. Or perhaps you want to focus on a particular pose, part of the body, way to complement your other activites, etc.

 *
Which elements of your practice interest you the most? Tick as many as apply.
*
Required
Do you know what style of yoga you'd like to practice together? E.g. more dynamic like Hatha/Vinyasa or slower and more meditative like Yin - or a combination?
 *
Are you comfortable with a mat based practice, or would you prefer to start with a chair based practice as you learn the foundations and then progress to the mat?
 *
Disclaimer, Terms & Conditions, GDPR Statement
Disclaimer  -  Please read carefully; your submission of this form will be taken to indicate your understanding and acceptance of the following: By submitting the questionnaire, you are confirming that the contents are true and accurate to the best of your knowledge. Please notify your teacher of any changes to your responses in this healthcare questionnaire before participating in classes subsequent to those changes.Your teacher is not qualified to express an opinion that you are fit to safely participate in any Wild Wolf Movement organized sessions and you must obtain professional or specialist advice from your doctor before participating if you are in any doubt. Where possible, your teacher may offer suitable modifications or adjustments and practices to suit different levels of experience and ability. Please always let the teacher know before the class if this is your first time practicing yoga or if you are not confident about your experience and/or ability. Where you are taking part in live-streamed classes, please note that the instructor may not be able to see you at all times. Where you have declared a health condition, please contact the teacher before the class if you would like to request that you are provided with suitable modifications or adjustments wherever possible. Please note, where you are taking part in a pre-recorded class, you will not be able to request specific adjustments or modifications. In all classes whether face to face, live streamed remote or pre-recorded remote, always follow your teacher’s safety instructions and listen to your body. Where a movement or class is beyond your experience or ability, feels too difficult for you, or you experience any discomfort, please do not continue the movement or class. If you engage in this exercise or exercise program, you agree that you do so at your own risk, are voluntarily participating in these activities, assume all risk of injury to yourself, and agree to release and discharge Wild Wolf Movement from any and all claims or causes of action, known or unknown, arising out of Wild Wolf Movement's negligence. Please confirm you have understood by writing your name in the box below. *
Terms and conditions: one to one packages are valid for 4 months from the date of purchase (unless agreed otherwise), after which any remaining sessions will expire. Sessions will be conducted at the agreed times/dates ~ WWM operates a 24 hour cancellation/reschedule policy. If less than 24 hours notice is given WWM reserves the right to redeem the session from your package. If you are more than 15 minutes late to a session this will also be deemed as a 'no show' and the session deducted from your package & if you arrive late the scheduled end time will not change. Invoices need to be paid in advance for services to commence, and WWM operates a no refund policy.
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GDPR Statement - In order to comply with the General Data Protection Regulations, it is necessary for me to check whether or not you are happy for me to retain your contact details and information as long as you are participating in sessions run by the Wild Wolf Movement. I only hold information when it is necessary to do so in order for me to carry out my work, and when you have given me permission to do so. From time to time I may contact you in regards to classes and other yoga related offerings I think may be of interest to you. To ensure that I only communicate with you in regards to the information shared on this form in the manner of your preferred choice, please will you indicate below, your agreement, or otherwise, to the following means of communication: *
Required
Would you like to be added to the WWM mailing list to be the first to know about in person & online workshops, retreats & news? *
Thank you ~ please email Marie wildwolfmovement@gmail.com letting me know you've completed this form and listing a few possibilities for our consultation call (Mon - Fri, 9am-5pm).

I look forward to guiding you on your yoga journey :)
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