Welcome Form for Private Sessions
Please complete this form to the best of your ability to help me get to know you better and understand the goals for your private session. If you have any questions, please feel free to email lauramoseryoga@gmail.com or schedule a call with me.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Emergency Contact Name
Emergency Contact Phone Number
Please enter a valid phone number.
Have you practiced yoga before?
Yes
No
If yes, please describe your previous yoga experience.
Please provide details about any current injuries medical conditions or physical limitations.
What are your goals or areas of focus for this private session?
Signature
*
Online Sessions Only
You will receive a Google Meet link to meet me online after booking your session.
In-person Private sessions Only
Please list the location where you would like to meet for your session. I will travel within 30 miles of Hagerstown, Md.
Would you need me to bring a yoga mat for you to use?
No, I have one
Yes, please bring one
Yes, please bring two
Submit Intake Form
Should be Empty: