Group Session

Illuminate Life Yoga: Group Session

Thank you for your interest in working with me. This form gives me insight into the kind of yoga and wellness support the group is looking for. The details are invaluable to the groups sessions and may influence the tools implemented for whole body healing. The time and vulnerability in filling out this form is seen and appreciated.
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
E-mail*
example@example.com
Desired Platform for Session(s)*
Days/Times Available:*
Number of Persons for Group Session:*
How are the persons in the group related/connected to one another? *
What are the groups top three yoga and wellness goals?*
What are the experience levels of yoga for the group? Please include types/elements of yoga anyone has practiced as well as what anyone may have liked or disliked about past experiences.*
Please provide any applicable details regarding medical and health history below including any past or present injuries: *
Additional notes you wish to share:
I will contact you within 1-2 business days of receiving your completed form for a complimentary phone consultation. This consultation is for additional questions prompted by the form above as well as pricing and scheduling. Illuminate Life Yoga understands that financial barriers exist and believes that wellness should not be compromised due to this. Please communicate any concerns you may have above.
Should be Empty:

Illuminate Life Yoga: Group Session