Welcome!

I'm so glad you're here. I work with people who want to move better and feel better—now and into the future. Please take a moment to fill out this short form before your first class, so I can get to know you a little better.

Name

First Name

Last Name

Pronouns

Email

Check the box below to receive helpful movement tips, class updates and early access to special series. Without checking it, you won’t get these valuable extras.

Phone

Please add your phone # if you would like me to text you links to classes.

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What are you hoping to get out of your yoga practice?

Medical Conditions

Do you have any injuries, pain, or health conditions I should know about?

How did you hear about me?

Subject

Please tell me which class you would like to attend.

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of birth

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DD

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Emergency Contact

First Name

Last Name

Emergency Phone

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Release

I release Jennifer Davis and her employees, investors, agents, successors and assigns and will hold them harmless from any and all liability arising out of any personal injuries or damages, foreseeable or unforesee- able, which may occur as a result of my participation in any class or program or activity led or sponsored by Jennifer Davis. I hereby declare myself physically and mentally sound and capable of participation in those activities, programs and classes.

Yes

Thank you! I’m so glad you’re here. Check your inbox soon for next steps. I’m looking forward to practicing together.

Thank you, your new student form has been submitted. I look forward to having you in class!