Embodiment Session Intake

Embodiment Session Intake Form

Please fill out the form below, so I can get an idea of what you want to work on, and I will contact you to discuss your goals and schedule sessions!

First Name*

Last Name*

Email*

Phone

Please choose areas of interest for your session(s).*

ALIGN: yoga & pilates sessions to improve postural awareness, build stability/mobility and promote greater ease of movement.CHOREOGRAPHY: choreography generation for a solo or group in preparation for a performance or personal creative project.DANCE: learn dance technique at your own pace. Open to all levels. I specialize in contemporary dance and jazz/ballet for beginners.FLOW: learn techniques for flow arts/prop dance - incorporate dance, learn technique, and tips for fire dancing. I specialize in hoop, palm torches, and fans. Open to all levels.RESTORE: yoga nidra and restorative yoga to help you experience deep, meaningful restTEACH: sessions for yoga teachers who want to hone their teaching skills and expand their movement repertoire.

What are your current movement practices, if any? How often do you do them?*

Do you have any recent injuries or surgeries (within the last 5 years)? If so, please list them*

Are there specific areas in the body where you want to build mobility and/or strength?*

Anything else I should know?

In person and virtual options are available for embodiment sessions. Which do you prefer?*

In Person: Lotus Pond Center for Yoga & Health Studio (in Tampa, FL)Virtually through Zoom: Client should have 15x15 ft private practice space where they will not be disturbed for the duration of the virtual session.

Are you interested in small group or one-on-one sessions?

One-on-oneSmall Group