Name *

First Name

Last Name

Past Experience

Select the option that sounds closest to your current experience with yoga.

This would be my first yoga experience.

I’ve practiced one to a few times.

I have a regular practice.

Interests + Goals

Select any and all interests and goals you have for your private yoga classes.

Relaxation + Stress Reduction

Increase Strength + Mobility

Manage and Prevent Injuries

Mitigate Aches + Pains

Release Tension

Manage Mental Health

Bolster Immunity

Promote Better Sleep

Improve Balance

Build Endurance

Develop Mindfulness

Foster Healthy Coping Skills + Boundaries

I would like to learn more about:

Family Yoga

Kids’ Yoga

Social Emotional Learning + Conflict Resolution Skills Education

Yoga Teacher Training

Public Yoga Classes

Virtual Yoga Classes

1-1 Private Yoga Lessons

Small-Group Classes