Shaina Curtis Yoga & Wellness - Application
By completing this form, you are submitting a request to be notified as spots become available for 1:1 sessions and Dynamic Memberships. This is not a binding document. You will be contacted when a spot opens up.
Are you interested in the Dynamic Membership or Private Instruction? *
Why do you want to incorporate private sessions? *
Which of the following interests you? Check all that apply. *
Required
How do you rate your current level of activity? (5 being most active and mobile) *
Do you have any pain or injuries that you're managing? If so, do they affect your ability to move through your daily activities? *
What duration do you prefer for private sessions? *
Required
What time of day works best for you? *
Required
Anything else you want me to know?
Name *
Phone Number *
Email Address *
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