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Yoga and Group Therapy Pre-Registration
Elevation Counseling
Event Address: 6612 Gulton Ct. NE, Albuquerque, NM 87109
Contact us at 505-888-1686 or
office@elevationcounseling.com
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* Indicates required question
Email
*
Your email
First and Last Name
*
Your answer
Cell phone number
*
Your answer
Which yoga class or group therapy are you interested in attending?
*
Trauma-Informed Yoga (Saturdays 9-10:15am)
Mindfulness Based Group Therapy (Saturdays 10:30-11:30)
Women-Only Therapeutic Yoga (Wednesdays 5:30-6:45 p.m.)
Private Yoga Session with Robin Bartee
Required
Main issue or issues you are wanting to explore through yoga or mindfulness group therapy.
Trauma
Anxiety
Depression
Stress
Grief
Chronic pain
Other:
Have you attended yoga classes before?
No
Yes, I have some yoga experience
Experience with yoga practice
Clear selection
I understand that yoga classes are not covered by my insurance and if taking yoga I will have to pay $20.00 per class upon arrival
*
Yes
Other:
Required
I am aware of the yoga and/or group therapy policies and have, or will sign, the waivers
*
Yes
No
Other:
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