Three Trees Yoga

Therapeutic Yoga

This class will be geared to address yoga practices based on individual need and provide encouragement to do these practices at home to realize helpful effects of regular ongoing yoga practice. You would find the class will be conducted in a very caring, compassionate and nonjudgmental environment. You are required to get approval from your current medical provider indicating your current medical problem/s, limitations and that it is OK for you to do yoga (or sign a liability form waiving this requirement).

Please fill out the form below and send it to us by clicking on the "Submit" button at the bottom.

Date
Name
Address
City
State
Zip
Phone
Alternate Phone
E-mail Address (advised)
Age
Sex

Current medical problems

Current medical treatments including medications

Past surgery or trauma

Allergies

Current Health Care Provider

Name
Address
City
State
Zip
Phone

Have you done any yoga before?

What do you expect to get out of the yoga sessions?

Anything else that you think is important for us to know to help you achieve your expectations from this yoga class?