Name
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First Name
Last Name
Email
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Phone
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Address
Occupation
Emergency name and contact number
Goals and intentions
What are your goals for our work together? These may be short- or long-term, specific or general, etc. What are you hoping to experience, accomplish, practice, or feel?
Yoga experience
Any previous yoga experience? If so, how long, what styles, etc.? Are there poses/styles/teachers that you love or don’t love? How would you describe your experience to date?
Body history
Please list current or past restrictions or injuries. These can include anything from major surgery to minor preoccupations. Are there areas of the body that specifically need opening and/or strengthening? Specific aches/pains? Any other illnesses, health concerns, or medical history that you are comfortable sharing?
Movement and Lifestyle
Do you have a current or past fitness routine or movement practice? Any history of athletics? Hobbies or recreational activities? Any relevant lifestyle considerations (for instance, do you sit for long periods of time or have frequent repetitive activities)? What is your current stress level?
Logistics
Ideally, how often would you like to meet? Are there days and times that work best for you? Are you looking to meet in-person, virtually, or a combination? Do you have any yoga props at home? If so, which ones?
Anything else you'd like me to know?
Waiver and cancellation policy
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It is your choice to participate in yoga instruction, and classes are performed at your own personal risk. By participating, you’re aware of the potential dangers incidental to engaging in this fitness activity. You accept and assume full responsibility for any and all injuries, damages (both economic and non-economic), and losses of any type, which may occur to you, and hereby fully and forever release and discharge Cassie Marantz from any and all claims, demands, damages, rights of action, or causes of action, present or future, whether the same be known or unknown, anticipated, or unanticipated, resulting from or arising out the participation of yoga instruction. By participating in any and all future yoga sessions, you acknowledge that you have read the foregoing waiver and release liability and voluntarily execute this electronic document with full knowledge of its content.
I understand that there is a 24 hour cancellation policy for all appointments. Should I choose to cancel an appointment with less than 24 hours advance notice, I understand and accept that I will be charged for the session.