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Mentoring Client Intake Form
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Name
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First
Last
Email
*
Phone Number
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Which of the following best describes your interest in Mentoring? (check all that apply)
*
Personal Development
Career Development
Spiritual Growth
Challenging Time
Removing Blockages & Exiting Old Cycles
Other
Please share more about what is drawing you towards Mentoring. Is there something in particular you would like your session/s to focus on? Is there anything helpful for Amy to know in preparation for our session?
*
I understand Mentoring sessions are not an equivalent to counseling or behavioral health sessions. Mentoring sessions are not designed to process traumas, life events, or replace psychological care.
*
Yes, I understand.
Payment & Appointment Information
Credit Card Number
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Session cost of $70 is charged at time of making your reservation. 24 hour notice required to reschedule. No refunds or cancellations.
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I give Latitude 44 Yoga Studio permission to charge my credit card and reserve my non-refundable appointment time.
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WELCOME
Get Started
Our Story
Our Team
Contact Us
Job Board
SCHEDULE
Class Schedule
Events & Workshops
>
Shadow-Work: Embracing the Dark Side of the Self
Philosophy & Psychology of Individuation
The Koshas: Layers of the Being
Pricing
Memberships & Class Passes
Mats, Apparel & Gear
>
Shop Yoga Mats
Shop Apparel
Shop Malas
Shop Gear
Purchase a Gift Certificate
Employee Wellness Programs
Karma Project
Room Rental
Services
Group Classes
Private Sessions
Reiki, Mentoring, & Speaking
Yoga Study
>
Apply to join Yoga Study
Yoga Study: Energetics
Yoga Study: Teaching Methodology
Yoga Study: Pranayama
Yoga Study: Meditation
Yoga Study: Asana / Postures
Yoga Study: Philosophy
Yoga Study: Anatomy
Yoga Study: Ayurveda
Members Hub
Member Portal Login
>
Classes On-Demand
Asana / Postures Mini Workshops