RSVP 1 — A Healthier You, Inc.

Yoga Class Intake Form

Once you fill out your intake form, you will receive information about your yoga class. Please make sure you submit your liability waiver.

Name

First Name

Last Name

Phone

(###)

###

####

Will you be attending?

New to Yoga?

First Class

Practice Yoga once a week

Practice Yoga twice a week

Practice yoga frequently

Practice yoga monthly

Practice Yoga from time to time

Do you own a yoga mat?

Yes

Do you have any injuries or illnesses?