New Client Intake Form
Tell us a little bit more about you. Expect a friendly phone call or text message from our admin team to follow up with you. Make sure your email and phone number are correct. We will reach out to you once registration for our next series is open. NOTE: Only fill out this form if you are ready to invest time and money into yourself. Our Intro Series are for those who want a long-term practice of self-growth in their life. We are a membership-based studio for this reason.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Birthdate
*
-
Month
-
Day
Year
Date
Which Intro Series are you interested in?
*
Intro to Pole
Intro to Lyra
What draws you to this Intro Series?
*
I want to build more confidence in myself.
I want to feel amazing and sexy in my own body.
I am looking for new ways to be creative in my life.
I want to find my voice. I'm not sure who I am or who I want to be.
How did you hear about us?
*
Please Select
Friend (who's a current student)
Friend (who's not a current student)
Google search
Instagram
Facebook
Attended a workshop at the studio
Attend a party at the studio
Studio Spin staff member
Tell us a little more about why you want to start classes with us (optional)
Submit
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