Yoga + Health Coaching Form Currently accepting new clients for Spring 2025 Name * First Name Last Name Email * Phone, if in the U.S. * (###) ### #### Date of Birth: * How did you hear about me? What kind of goals do you have for yoga and wellness: * Examples might be to get stronger, improve mental health, sleep, or mobility. Please share any relevant injury, health or surgery history: * Sessions are $110 for the initial and follow ups are $80. Please select which would apply: * Sessions are self pay and not covered by insurance. I currently offer 2 spots for community rate clients. Standard rate I need the community rate. (First session $75, follow ups $55) Thank you!