Registering for Yoga with Carla @ Kripalu Yoga and Wellness Center in Adams Center (Rt 11)

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This registration form is for classes available November & December (Cell Phone to reach Carla (315) 408-7569)

Email *

Name (First & Last) *

Cellphone # *

Kripalu Yoga - Register for Monday Flow and Restore (6:15-7:30pm) -This class is designed to cultivate mindfulness, integrate breath and movement, and help you achieve balance for the body and mind. Flow and Restore is a calming yet stimulating yoga class with a mix of active flowing sequences and more passive restorative release. Poses are held for a longer period of time allowing students to find their edge and soften into restful relaxation. Pranayama and meditation is also weaved into the class. Props are used as tools to become more aware of the body and listen to its feedback. This class is for all levels.***Bolsters, blocks, straps and blankets are props used to help you feel supported in your practice. (We have these props at the studio)

Monday November 1st @ 6:15-7:30pm

Monday November 8th @ 6:15-7:30pm

Monday November 15th @ 6:15-7:30pm

Monday November 22nd @ 6:15-7:30pm

Monday November 29th @ 6:15-7:30pm

Monday December 6th @ 6:15-7:30pm

Monday December 13th @ 6:15-7:30pm

Monday December 20th @ 6:15-7:30pm

Kripalu Yoga - Register for Thursday Vinyasa Flow (4:15-5:30) ~Explore the foundational elements of Vinyasa with this approach it is designed to help you safely practice the basics while building heat. You will gradually grow into each posture and explore modified versions of poses which allow you to experience alignment in each pose at an intuitive level. This class although more rigorous and heat building than Monday's class is suitable for all levels.

Thursday November 4 th@ 4:15-5:30

Thursday November 11th @ 4:15-5:30

Thursday November 18th @ 4:15-5:30

Thursday December 2nd @ 4:15-5:30

Thursday December 9th @ @ 4:15-5:30

Thursday December 16th @ @ 4:15-5:30

Kripalu Yoga- Register for Saturday Sunrise Flow (9:15-10:30am)- ~Wake up and celebrate the start of a new day. This class will lead you through a Vinyasa yoga sequence focused on the opening the hips, quads and hamstrings, while also providing poses to strengthen your core and improve your balance. This class is for all levels.

Saturday November 6th @ 9:15-10:30am

Saturday November 20th @9:15-10:30am

Saturday December 11th @9:15-10:30am

Other:

Health Concerns - Please share with me any health concerns I should know prior to our practice together, You will sign a waiver prior to our first class. ***If registration is for children’s yoga please list your children’s health concerns such as allergies to food, insects, or animals. *

Can you please share with me your experience with yoga: *

Level 1 - Beginner- no prior experience.

Level 1/2 - Experienced Beginner - Taken classes and understand basic poses.

Level 2 - Intermediate - Good understanding of poses and breathwork.

Level 3 - Advanced Intermediate - Solid understanding and regular practice.

Please pay for your classes at the time of registration. $65/5 classes, $120/10 classes. $15 per class for 1-4 classes. I will pay by the following method: *

Paypal - carlavanwormer@gmail.com

Venmo- @Carla-VanWormer

cash upon arrival (only by approval)

Required

Lastly, do you have any questions you would like me to answer? Do you have other suggestions of class styles you would like to see offered, days and times, or ideas for me to consider? I appreciate your thoughts and time. Namaste !

A copy of your responses will be emailed to the address you provided.

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