niuyoga information request
Full Name
*
First Name
Last Name
E-mail
*
Zip Code
What type of Yoga or program interests you?
Prenatal Yoga 6 Week Series
Mommy & Me/Postnatal Yoga 4 Week Series Non-Crawlers
Mommy & Me 4 Week Series Active Crawlers & Walkers to 14 months
Mommy & Me 4 Week Series 15 months to 3 Years
Infant Massage 6 Week Training (Infants to 1 year)
Childrens' , Tweens' or Teens' Yoga
Beginners' Yoga
Intermediate Vinyasa Yoga
Therapeutic Yoga (To Aid in Recovery or Support Chronic Conditions)
Senior Yoga (A Gentle Practice Suited to the Third 30 years of life)
Restorative Yoga (A Relaxing Practice Supported by Props)
Have you or your child practiced yoga before?
*
Please Select
I'm new to yoga
I've tried it once or twice
I have done a bit of yoga
I practice regularly
I'm hoping to get back to a regular practice
How old is your child/children?
How old is your baby?
What are you hoping to gain from your practice of yoga?
Flexibility
Relaxation
Strength
Other
Please explain
What type of training do you prefer?
*
I am interested in private one-on-one sessions
I want to organize semi-private session for myself and a small group that I know
I want to join a group class
When is your event?
-
Month
-
Day
Year
Date Picker Icon
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Do you have a preferred venue?
Please Select
Authentic Fusion Boutique Fitness & Lifestyle Studio Venice
My location (my home or another location I have access to)
Do you have a preferred studio or location?
Please Select
Authentic Fusion Boutique Fitness & Lifestyle Studio Venice
My location (my home or another location I have access to)
Where is your event?
Approximately how many people will attend?
When is the best time for you to attend? Please select the times that might work for you or make a specific request below.
Rows
Monday
Tuesday
Wednesday
Thursday
Friday
6am - 9am
9am - 11am
11am - 1pm
1pm - 4pm
5pm - 8pm
Please let me know if you have a specific time that you works best for you or, if you are interested in more than one program what times would work.
Is there anything else you would like to share with me?
privacy policy
Submit
Should be Empty: