New Client Form | wellbeingbypenny.com

Thank you for your interest in the Pelvic Health Yoga classes

If you have not yet taken a look at the service you're interested in, please do so before taking the time to fill out this form. Your responses are kept strictly confidential and I look forward to hearing from you!

First Name

City/Country

Last Name

Occupation

I am interested in

The Holistic Health Yoga program

The Pelvic Health Yoga membership

1:1 private classes

What brought you here and what are you hoping to gain from working with me?

Well-being by Penny - Release & Waiver of liability

• I understand and appreciate the physical risks involved in a yoga practice and voluntarily assume any and all risks

• I am in proper physical condition to participate in this class or event

• I agree to release and forever discharge Pernilla Petersson & Well-being by Penny from any and all liability for any injury

• I understand that if I am unable to keep my scheduled private lesson appointment, I must offer the courtesy of 24 hours advanced notice via phone call or text

• If I offer less than 24 hours advance notice, I may be charged up to half the price of the lesson

• Same day cancellations will result in full payment

I agree to the terms & conditions

Thank you for your interest in the Pelvic Health Yoga classes

Thanks for submitting!