Intake Packet

  • Please fill out the Intake Packet, print and sign.

  • Hand deliver at your Intake appointment.

  • For your privacy and HIPAA, please do not email.

WHERE

Temple Road Yoga

9628 Bartlett Circle

Fort Worth, Texas 76108

COST

$240 full payment or

$40 weekly auto-draft

WHEN

6-week closed series

  • Jan 24th - Feb 28th

  • March 21st - April 25th

  • June 13th - July 25th

  • Oct 10th - Nov 21st

Thursdays @ 4:30 - 6:00pm

​© 2017-2018 Lotus Rising Yoga Therapy

817-916-8200 | info@lotusrisingyogatherapy.com