Interest Form
Please fill out the following information below!
Name
*
First Name
Last Name
E-mail:
*
example@example.com
Mobile Number:
*
-
Area Code
Phone Number
What kind of session are you looking to have?
*
Adult one-on-one session
Adult small group session (2-8 participants)
Adult large group session (8+ participants)
Child small group session (2-8 participants)
Child large group session (8+ participants)
Parent/Child session
Adults and Children small group session (2-8 participants)
Adults and Children large group session (8+ participants)
What style of yoga session are you looking to have?
*
SUP (Stand Up Paddleboard)
Vinyasa Flow
Yin Yoga
Chair Yoga
Fusion
Children's Style
I am not sure yet.
Other
Yoga Session Type:
*
Corporate/Business
School
Private
Social or Party
Retreat
Other
Please select if any of the following statements applies to you or your business.
I am/represent an educator.
I am/represent a first responder.
I am/represent a police officer.
I am/represent a student.
I own/operate/represent a ministry group.
I own/operate/represent a non-profit business.
None of the following apply to me.
Other
Are you looking to book on behalf of someone other than yourself?
*
Yes, I am looking to book on behalf of someone else.
No, I am looking to book for myself or my business
If you answered "yes", please explain who you are booking for below.
If you answered "yes" to question above, please fill out the following questions on behalf of who the session is for.
Have you practiced yoga before?
*
yes
no
Other
How often do you practice yoga?
*
Daily
Weekly
Monthly
Other
How do you rate your current level of physical activity?
*
1
2
3
4
5
Very Inactive
Very Active
1 is Very Inactive, 5 is Very Active
What are your goals/expectations for your yoga practice? What benefits are you looking for?
*
Increased Strength
Improved Flexibility
Improved Balance
General Knowledge of Yoga
Injury Rehabilitation
Increased Well-being
General Weight Management
Improve Overall Fitness
Address a Specific Health Concern
Anything else we should know?
Submit Application
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