New Client Q&A


Thank you for your interest in scheduling a one-on-one virtual lesson.
Please fill out the form below and we will get back to you with options for scheduling.


Name *
Name
Address *
Address
Phone *
Phone
Birthday *
Birthday
I am interested in....
Please check all that apply
Please check all the words below that you would regularly use to describe yourself. *
Please describe any exercise routine, workload, recreation, schedule...etc.
Please indicate your typical feelings about the following statements: *
Please indicate your typical feelings about the following statements:
I regularly sleep well and wake feeling rested.
I handle stressful situations well (such as a car accident, illness or job loss)
I have multiple hobbies or self-care routines to wind down and manage my stress level.
I have adequate relationship support from family, friends...etc.
If necessary, I am willing to work hard to modify my habits, lifestyle and mind.
• I understand and appreciate the physical risks involved in a yoga practice and voluntarily assume any and all risks • I am in proper physical condition to participate in this class or event • I agree to release and forever discharge Katy Lush Striebinger and Lush Living from any and all liability for any injury • I understand that if I am unable to keep my scheduled private lesson appointment, I must offer the courtesy of 24 hours advanced notice via phone call or text • If I offer less than 24 hours advance notice, I will be charged the full cost of the session • Same day cancellations will result in full payment