Intake Form

New Student Intake form

Thank you for choosing HYC. We strive to provide the highest quaity yoga instruction in a clean and safe environment. To help us ensure that you have a wonderful experience, please complete this confidential client intake form.

Name

Date of Birth

Street Address

Email Address

Phone

Occupation

Emergency Contact

Accessibility Needs

Referred By

What is your yoga experience?

How often do you practice yoga?

What time of day is best for you to practice?

Do you prefer 60- or 90-minute classes?

What types of Yoga have you practiced?

What are your goals?

What is your current rate of activity?

How do you rate your overall stress level?

What is important to you? What is important to you? Variety of classes Experience of instruction Price Cleanlines of studio Location Being greeted by name Schedule Retail

Is there anything else you would like to share?

3 + 14 =

Questions-Comments- information

Contact HYC

Studio Contact

Email:
info@HauteYogaColorado.com

Phone:
720-872-2788

Address:
Haute Yoga Colorado
16631 Washington St.
Thornton, Colorado 80023

Refer a friend

and receive $10 off your next purchase.*

Details