Virtual Private Yoga Request
Complete this form to request your virtual private yoga session! We use Zoom video conferencing for the sessions. Once your request is received, we will be in contact shortly to confirm your booking with an invoice to pay. Sessions are not considered booked until payment is received. Please contact taraanncarrollyoga@gmail.com if you have any questions.
Your Name *
Your answer
Your contact email address: *
Your answer
Paypal or Venmo *
Paypal email or Venmo handle if different than above:
Your answer
Your Time Zone *
Recurring? *
Preferred days *
Required
Preferred times (your time zone) *
Required
Length of session requested: *
Any other scheduling requests?
Your answer
*Please note: Day/time requests are not guaranteed.*
What are your goals/what are you hoping to get from this virtual private yoga session?
Your answer
Are you currently pregnant? *
If yes, estimated due date:
MM
/
DD
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YYYY
Are you within 1 year postpartum? *
If yes, date of last birth:
MM
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DD
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YYYY
Please list any health concerns, injuries, allergies, or medical concerns.
Your answer
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Waiver of Liability
In any physical activity, risk of serious physical injury is possible. Yoga and other activity is no substitute for medical diagnosis and/or treatment. The student assumes the risk of yoga or other activity and releases the teacher(s) and Tara Ann Carroll Yoga from any liability claims.

I am participating in classes or workshops with Tara Carroll at Tara Ann Carroll Yoga. I am aware of the physical risks involved with exercise and understand it is my personal responsibility to consult with my doctor regarding my participation. I have no medical conditions that I am aware of, which would prevent me from taking part in classes or workshops, and I assume responsibility for any risk or injury I may sustain as a result of my participation. I have read the above release and waiver of liability and understand its contents. I understand that it is my responsibility to find a pace that suits me. I agree to the terms and conditions stated above.
Waiver of Liability *
Required
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