Fertility Coaching - Yoga for Fertility

Date/Time
11/16/2016 - 11/16/2030
9:30 am - 9:30 pm

Once I receive your registration, I will contact you to schedule a time to meet.

Please choose the type of Fertility Coaching session you are registering for, below. Fertility Coaching sessions are mainly being held over Zoom at this time. My main hours of availability are weekday daytimes, but I do also have some weekend or evening times available. Please book early if you require a weekend or evening time slot.

Please register below:

Bookings

Ticket Type	Price	Spaces
Fertility Coaching Package for Individual Includes 3 sessions; initial + 2 follow-ups	$625.00
Initial Fertility Coaching Session for Individual	$375.00
Initial Fertility Coaching Session for Couples	$445.00
Follow up Coaching Session for Individual	$175.00
Follow up Coaching Session for Couples	$225.00

Fields followed by an asterisk (*) are required

Full Name *

Email *

Address *

City/Town *

State/County *

Zip/Post Code *

Phone *

Prior Yoga Experience *

Current Age *

Do you have children? * Yes
No

Are you currently receiving any treatment related to fertility issues? * Yes
No
Not currently, but within the past 12 months

If yes, who is treating you?

If yes, please briefly explain the treatment:

Do you have any injuries that might impact your ability to do yoga? *

Where did you hear about this event? *

I have read and understand the waiver for this event: *

Use PayPal button below to pay by PayPal OR by credit or debit card.

Click Use Another Payment Method to pay with Venmo: Lynn-Jensen-12 OR
with Zelle: lynn@yogaforfertility.net

I consent to my submitted data being collected and stored as outlined by the site .