Grounding Your Practice Immersion Registration Form
Holy Cow Yoga Center
Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How long have you been practicing yoga?
*
What styles of yoga have you experienced?
*
Do you have a regular studio and/or teacher(s)? If so, please list.
*
How often do you typically practice?
*
Do you have a regular meditation practice?
*
Do you have any physical limitations that you think would be helpful for us to know about? If so, please describe. This information will not affect your acceptance into the program in any way. Having this knowledge in advance gives us the opportunity to provide accommodations whenever possible.
Please tell us a little bit about yourself and your lifestyle.
*
What are you hoping to get out of this program?
*
Is there anything else you would like to share with us?
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