In-Home Private Yoga! Request Form
Please fill out this form if you're seeking 1-on-1 private yoga sessions in the comfort of your own home. This consultation form will allow us to understand your goals and desires for the yoga session to better serve you.
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Email *
What is your name (first and last)? *
What do you prefer to be called (nickname or spiritual name) and what are your preferred pronouns? *
Date of Birth *
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YYYY
Where are you located? (Town or City, State) *
Please briefly describe the space where the yoga practice will be conducted (e.g. "carpeted family room," "hard-wood office," "garden patio," etc.) *
Are there pets or smokers in your home (so that we can be aware for potential allergies)? Please list pets below: *
Would you like to request a particular teacher or teachers? *
Required
What style of yoga are you hoping to practice in your private session? Select all that apply. *
Required
Please tell us a little about your goals and what you hope to achieve through your private yoga sessions. *
Do you have any particular injuries, allergies, ailments, mental health conditions, or other concerns that may affect your practice or that you would like us to address? *
Are you interested in a single 75-minute session, or would you like to book a 4-class package? *
Please list a few dates and times that you have available for a yoga session, and we'll put you in touch with your preferred teacher to confirm their schedule. *
Is there anything else you'd like us to know?
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