The Mindfulness Practice Kids Yoga and Mindfulness Classes Intake Form

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This form is to get to know a little bit more about you and to understand your needs and goals. Once it's complete I will reach out to you to schedule a discovery call.

Email *

Name *

Email address *

What type of programming are you interested to learn more about? Check all that apply

During the school programming

After-school programming

Mat based classes

Chair based classes

Virtual classes

Private classes

Family classes

Birthday Parties

Parent workshops

What grades are you interested to bring classes to?

Pre-K

K-2nd grade

3rd -5th grade

6th-8th grade

9th-12th grade

Other:

What is the ideal length of the classes?

Check all that apply

1 hour

45 minutes

30 minutes

15 minutes

2 hours (for parties and workshops)

How many sessions are you hoping to schedule?

2-5

5-10

10-15

15+

Why do you want to bring yoga and mindfulness to your child's school/home?

Have you or your child participated in yoga classes before? If so, what did they like or dislike about it?

Are you interested to learn more about any of the following topics below? (check all that apply)

Child development

Trauma-informed care

Inclusive and adaptive teaching

Teaching poses safely to children

Teaching children mindfulness practices

Developing a personal practice

When are you available for a free discovery call?

Monday

Tuesday

Wednesday

Thursday

Friday

Morning (9am-12pm)

Afternoon (12pm-4pm)

Evening (4pm-7pm)

Is there anything you want to add?

Send me a copy of my responses.

Submit

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