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If you would like to schedule class time or for a preliminary telephone consultation, please fill out and submit this form.  Pranayoga instruction is designed specifically for each individual and the information requested here will help me in that process.  Feel free to leave any question unanswered.  Thank you!
Contact Information:
Your Name:
Home Phone:
Your E-mail Address:
Work Phone:
City or Neighborhood:
Cell Phone:
ZIP Code:
I am interested in the following areas:
Yoga Asana (Postures)
Meditation
Dharma (philosophical teachings)
Pranayama (Yogic Breathing)
 Mantra (Chanting) Yoga Retreats
Other interests:
Tell me about you and Yoga:
Yoga Practice Level:
(example: 3 times per week)
I practice Yoga:
Comment here on your Yoga practice or your interest in Yoga:
Other Comments or questions: