Name

Email Address

These are closest to my goals These are closest to my goals Happiness Connection Inspiration Awareness Clarity Reduce stress

I'd like to practice: I'd like to practice: Relaxation Techniques Focusing Techniques Strengthening Techniques

What Format Are You Interested In? What Format Are You Interested In? Open class Join or Start A Group Session I'd prefer a 1-on-1 session

Additional Comments (include any preferred dates/times)