PRIVATE YOGA / GROUP CLASS REQUEST Name * First Name Last Name Email Address * Phone * (###) ### #### Number of people? 1 2 3+ Mark the length of private session you prefer: 1 hour 75 minutes 90 minutes 2 hours Do you plan to take Private Yoga Sessions on a regular basis? Yes No, just one Not sure List your top 3 teacher preference(s) to teach your private (if any), or mark “any”. List two or more days and times you prefer: What style of yoga are you asking for guidance from your Private Yoga teacher? Hot Power Yin N/A What are your goals or desired outcome from taking Private Yoga? For example, are you wanting guidance with specific poses, if so which ones? Are you wanting help with an injury? Are you interested in learning poses that help with a particular challenge (like insomnia, anxiety, heart health, etc.) What is your preferred location? West East Campus Name of organization if applicable: Thank you!
