Your Name *

First Name

Last Name

Phone *

(###)

###

####

Company Address (Class Location) *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

What are the three (3) ways your team would most like to benefit from a yoga session? *

Managing stress or anxiety

Improve physical strength

Improve flexibility

Reduce shoulder, neck and/or back tension

Improve posture

Improve general mood

Incorporating yogic philosophy into the everyday

Breathing techniques

Meditation techniques

Other

Preferred Time *

Hour

Minute

Second

AM PM

For the hygiene and safety of your team we do not provide mats. Please check the box to confirm that team members will bring their own. *

I understand, team members will bring their own mats.