Blossom St. Yoga Shala Reservation Form
Thank you for reserving your classes online. Reservation isn't guaranteed until Justine confirms your reservation via email, text or phone call. Please fill out the form in its entirety.
First & Last Name
Email address: please check for typos
Reservation Type & Pricing
$25 Drop In
$110 Class Package 5 sessions
$210 Class Package 10 sessions
$400 Class Package 20 sessions
$20 student/yoga teacher rate
Yoga Nidra Meditation Saturday Night Practice
Please list all dates you are reserving.
Injuries and/or Pregnant?
Please list your injuries, areas of concern, and/or surgeries. Please also let me know if you are pregnant or recently gave birth. If nothing to share here, please type "none."
Reservation/Cancellation/Refund/Arrival Time/Waiver of Liability Policy
By checking the box below you agree to the following: 1) Class purchases are ineligible for refund or credit, 2) Cancellations are not guaranteed the option to reschedule, 3) Filling out this online form does not guarantee your reservation--you will receive a confirmation email from Justine, 4) Yoga classes are occasionally cancelled for holidays and Justine's travel schedule, 5) The Yoga Shala opens 15 minutes prior to class time, 6) Please arrive on time as the door is locked at the start of class, and 7) A Release and Waiver of Liability is required to be filled out and signed prior to practice. THANK YOU & NAMASTE!
I understand and agree to the Reservation/Cancellation/Refund/Arrival Time/Waiver of Liability Policy
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