Class Pack Intake Form Name * First Name Last Name Email * Packages * 3 ($300) 6 ($600) 9 ($900) What do you wish to gain from these practices? * Ex. Better mind-body connection, strength, flexibility, etc. What Style(s) are you interested in? * Vinyasa Hatha Yin/Restorative Inversions/Hand Balances Beginner Unsure Areas of focus? * Neck Shoulders Spine Hips Hamstrings Mobility (joints) Other Are you pregnant or postpartum? * Yes No Any surgical history, recent injuries, or medical clearances? * Yes No Anything else I should know? Thank you for booking a class pack. Now that I know what you’d like for your practice, I’ll create your custom package and have that sent within ten days of your payment. You will receive a payment link to your email.