|| plan {A} holistic life™ || Group Yoga: Session Booking Form for Alicia Mathlin
> Please complete all questions to the best of your ability.
> Your privacy means a great deal to me. All information gathered from this form is confidential.
Group or Corporation Name {skip if not applicable}:
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Primary Contact Name {first + last}: *
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Primary Contact Email Address: *
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Primary Contact Telephone Number: *
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Location {Toronto Only}:
street number, street, city, province, postal code
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Proposed date of session: *
Proposed time of session: *
How many participants? {women only} *
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Please select a theme for your group's session with me: *
Tell me a bit about your group/company: *
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Are you interested in multiple sessions for your group/company? *
What method of payment will you be using? {instructions will be sent to you accordingly} *
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