Skip to main content
Home
About
Offerings
Himalayan Breathwork
Trauma Informed Yoga
Somatic Integration
Poetry
Contact
More
Contact
Thank you for your interest!
Help me get to know you better
Which service or services are you interested in?
*
Please select at least one option.
Community Zoom Class
Breathwork - 1 Session
Breathwork - 21 Day Challenge
Breathwork - Chakra Series
Hatha Yoga - 1 Session
Hatha & Breath Together - 1 session
Plant Medicine Integration - 1 Session
Spiritual Integration - 1 Session
When are you ready to start?
*
Please select at least one option.
This Week
Next Week
Sometime in the future
Name
*
Email address
*
WhatsApp Number
What is your preferred method of communication?
Email
Phone
In-Person
Video Call
What challenges are you currently facing?
What are your goals for this journey?
Have you previously engaged in any of these practices?
Please select at least one option.
Yoga
Meditation
Counseling
Breathwork
Plant Medicine
What is your age range?
Select
18-24
25-34
35-44
45-54
55-64
65+
What is your current occupation? Let me know if you would like to be considered for a scholarship.
Is there anything else I should know? (Special needs, concerns, questions)
Submit
Sorry, we were not able to submit the form. Please review the errors and try again.