Private Yoga & Wellness Form

Thank you for your interest in booking a private yoga or wellness session with Lesline Pittman from The Breath Between Wellness Collective

Full Name

Email *

Phone *

Street Address

City

State

Country

Postal Code

Theme or Intention for yoga class

Would you like to incude any of the following? (In addition to the stretching)

Do you need yoga mats? (Up to 10 rented mats can be provided at no extra cost)

How did you hear about me?

By checking this box, I consent to receive transactional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply.Reply HELP for help or STOP to opt-out.

By checking this box, I consent to receive marketing and promotional messages, including special offers, discounts, new product updates among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.