Yoga Restore-Athletica Consultation Form
After you fill out this session booking request, we will contact you to go over details and availability before the order is completed by the date you have provided. If you have any questions, please contact us at (410)921-9427 or
Consultation Form- Session Booking Request Form
Are you a new or existing client?
I am a new client
I am an existing client
What is the type of session you would like to book?
Please choose "one" of the following.
Private Session -Yoga Therapy (Individual)
Group Session-Yoga (3 or more persons)
Yoga Class (If interested in Deborah teaching a "yoga class" at your facility)
Group Session-Yoga Therapy (3 or more persons)
Are you seeking consultation Service/Event?
Please answer this question for any consultation service. Briefly describe in detail the service seeking to provide. If, not, please write N/A
What location (s) would you like to have session hosted?
at facility or organization
at home care
What appointment time booking session?
Please list your appointment time (s) based on our Appointment Hours (Tues/Thurs: 10am, 12pm,3pm, 5pm; Fridays: 2pm, 4pm, 6pm, Saturday: 9am, 11am, 3pm. See website
Please complete the following questions
Your Full Name
Preferred contact method
Address (Current street/apt, city, state,zip code)
What is your experience with yoga?
Do you prefer music for your practice
How often are you looking to book a session
1 -a week
2- times a week
3-4 times a week
Would like your email to be added to our newsletter for updates and events?
Yes, please add my email
No, I do not wish to be added at this time
How long have you been practicing yoga?
I am a beginner, I never have practiced
Less than 3 years experience
More than 4 years of experience
If yes, what kind of practice have you had, please check this box and below options
Vinasya Yoga or flow
Bikram Yoga or Hot/Heated Yoga
I certify that I am 21 years or older, I have completed this form accurately and to the best of my knowledge. I understand that as a new client I will need to complete a new client questionnaire. If a minor, must have parent/guardian to complete this form
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Yoga Restore Athletica.