Name *
Phone *
For class cancellations and communications between classes.
Have you practiced yoga before? *
Home & Studio practice both count!
Please describe any workout routine, workload, recreation, family obligations, scheduling...
Please check all the words below that you would use to describe yourself *
(i.e. stressed, overwhelmed, anxious, frazzled, grounded, calm, energized)
Please be as detailed as possible. Thank you for your time!
I am interested in: *
Please check all that apply
• I understand and appreciate the physical risks involved in a yoga practice and voluntarily assume any and all risks • I am in proper physical condition to participate in this class or event • I agree to release and forever discharge Lara Scriba & Ki to Kaizen Yoga from any and all liability for any injury • I understand that if I am unable to keep my scheduled private lesson appointment, I must offer the courtesy of 24 hours advanced notice via phone call or text • If I offer less than 24 hours advance notice, I may be charged up to half the price of the lesson • Same day cancellations will result in full payment
I agree *
Please type your name here to serve as a digital signature