Laurel Leaf Yoga, Retreats & Wellness Information Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Interested in learning more about class offerings, retreats or private and individual Yoga sessions from Laurel Leaf Yoga, Retreats and Wellness? Or just want to get your name on our e mail list? Answer the questions below and we will get back to you with all the info!

Email *

Full name and personal pronouns:

Phone number:

City and state you live in? (this helps with in person class notifications)

Yoga level:

yoga? what's yoga?

beginner (some basic knowledge of poses)

intermediate (basic knowledge and consistent practice)

advanced (consistent practice and deeper knowledge of Yogic concepts/philosophy)

Yoga Instructor

Clear selection

Do you have any injuries we should know about?

What are you most interested in?

In-person Weekend Yoga Retreats (Winter Hygge, Spring Healing, Self Care Summer Camp )

Private Yoga sessions (Get personalized instruction about your Yoga practice)

Private events/retreats/classes

Wellness Appts (Chakra Healing (Reiki), Craniosacral Therapy, Energy Medicine Massage, Lomi Lomi))

Any other questions about Laurel Leaf Yoga, Retreats & Wellness offerings?

Would you like to be put on the e mail list? People on the e mail list are first to hear about up coming retreats!

Yes

No, thanks

Please add laurelleafyoga@gmail.com to your contact list so our communication goes to your inbox.

Yes! I will add laurelleafyoga@gmail.com to my contact list!

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms