Private Client Interest Form Student Information Name * First Name Last Name Contact Phone Number * (###) ### #### Email * Preferred Method of Contact Email Phone Call Text What type of session are you interested in? * TCC / Fertility Prenatal Yoga Prenatal Pilates Postnatal Yoga Postnatal Pilates Pelvic Floor + Core Baby & Me Yoga Childbirth Education & Comfort Measures Workshop Couples Class Private Group Session Other (Please include more details in the comments) Expected Due Date or Baby's Birth Date MM DD YYYY How did you hear about us? Additional Comments Thank you!