Thank you for your interest in practicing with me.

Name *

First Name

Last Name

Phone

(###)

###

####

What kind of practice are you interested in? *

Gentle Yoga and Stretching Only

Restorative Yoga (Also includes gentle yoga and stretching)

Signature Resilience Through Rest Event (Includes Meditation, Journaling, Gentle yoga and Stretching, and Restorative Yoga)

Ideal start date

MM

DD

YYYY

Ideal start time

Hour

Minute

Second

AM PM

Duration of Practice *

How long would you like the practice to be?

60 minutes

75 minutes

90 minutes

120 minutes

Not sure

Other duration (please specify)

Frequency of Practice *

How often would you like this practice to take place?

One-time event

Weekly

Monthly

Other frequency(please specify)

Anticipated number of participants *

How many participants do you anticipate will attend this event?

1

2-4

5-10

11-20

20+

Participant Attendance *

How would you like participants to attend?

In-person only

Virtual attendance only

Both in-person and virtual attendance

Are yoga props available or provided? *

This includes yoga mats, yoga blocks, blankets, and bolsters.

Yes

No

What is your preferred communication method? *

E-mail

Phone Call

Video Call

Would you like to subscribe to "The Inquirer", a bi-monthly newsletter with Restorative Yoga tips, tricks, resources, and special offerings from Nirel directly to your inbox? *

Yes

No