Unique Yoga Retreats

By completing and submitting this form we will be able to create a yoga class customized for your group. We will contact you within the next day or two to confirm the details. If you need to reach us sooner, please contact us at 408-377-3746.

* Required fields

Title of conference:
(If a conference)

Conference description:

Where is the location of the conference or the office facility if you'd like a regular wellness class?

Facility Name:

Address:

City:

State:

Zip

Phone:

Name:

First

Last

Company or
Organization:

Address:

City:

State:

Zip

Phone:

Email:

How many days would you like the yoga class?

How long of a class would you like? 15 minutes 30 minutes 1 hour

Exact time of class. Early morning wake-up class Lunchtime
Late afternoon wind down and rejuvenation class

How many participants do you expect?

Age of attendees:

M	F	Age	M	F	Age	M	F	Age
		0-2			3-10			11-15
		16-19			20-29			30-39
		40-49			50-59			60-69
		70-79			80+

Do any participants have physical limitations? Yes No.
Please explain:

What size room do you have? Sq. Ft.

What kind of floor does the room have? Wood Carpet

This class will be held in a: Primary Conference Room Small Breakout Room

Natural window lighting? Yes No

Audio Visual Sound System description:

Will people be wearing their work attire, or be able to change? Work Change

Would you like to have us supply work out clothes? Yes No
If yes, we need a general idea of people's sizes.

M	F	Size
		small
		medium
		large

Would you like to have us supply the equipment? Yes No

Would you like hand and foot grips instead of mats? Items that they can keep as gifts.
These run approximately $40 per set. Yes No

We can also supply lavendar eye pillows that you may want to provide as gifts.
These are $14 per pillow. Yes No