Name *

First Name

Last Name

Where would you like your practice to focus? (Check all that apply)

Breathwork

Build range of motion

Postural (shape) alignment

Meditation

Stress management

Slow down+find presence

Strengthen emotional body

Nervous system regulation

Strengthen physical body

Improve flexibility

Do you experience any of the following: *

High/Low blood pressure

Diabetes

Migraines

Arthritis

Asthma

Heart condition

Pregnancy+Nursing

Other