Member Intake Form

Darling Yoga

Please fill out this quick form so we can learn about you and customize a membership for you.

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Name *

First

Last

Email *

Phone Number *

How did you hear of us? *

Google Instagram Facebook Groupon ClassPass A Friend or Family Member Saw Sign/Drove By An Event Other

What brings you to yoga? Please tell us a bit about your wellness goals and interests (e.g. fitness, pain relief, stress relief) *

What else are you currently doing to achieve those goals? *

How often can you come to Darling Yoga to work on your goals? *

1x per week 2x per week 3-4x per week Unlimited - as much as possible 1-2x per month or less Not sure

What are the best times for you to join a class (e.g. early am, weekday mornings, midday, evenings, weekends) *

Do you have any injuries, aches and pains, or other health conditions we should know about? *

Submit

(913) 291-2886
11711 College Blvd
Overland Park, KS 66210
Contact

Website by Sarah Darling
Photography by Monica Hansen

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