Namah-Stay for Yoga

During your session with me, I want you to feel as relaxed and supported as possible. By filling out this form, you’re helping me to create a space that’s just right for you.

Your name

Last name

Your email address

Your phone number

Birthday

Month

Day

Year

Who doesn't like a little birthday treat?!

Is this session just for you, or will someone be joining you?

Just me- a little time to myself

Two mats- one peaceful experience

A small group- up to 6 people

If others are joining you, please let me know their names and email addresses

Please tell me a little about your current relationship with yoga

Please include details for each person attending. This helps me to create a class that meets you all where you're at.

Are you currently pregnant?

No

Yes and I am in Trimester...

Knowing which trimester you're in helps me support both you and your baby in the safest and most nurturing way. If you're in your first trimester, I’d be honoured to hold space for you with a gentle, restorative experience, however following my teacher’s guidance, I won’t be offering asana (poses) or strong breath-work. Instead, I can guide you through calming breath awareness, deeply restful Yoga Nidra, and offer optional light massage to help you relax and feel held during this special time.

What are you hoping to get out of your experience

Would you be comfortable with me offering gentle hands-on guidance to support your posture and/or a gentle massage to help you relax on your mat.

Yes please!

No thanks, I'd prefer verbal cues only

Would a gentle scent help set the tone for your practice?

Essential oils

Light incense

Just fresh, unscented air

What day and time were you hoping for this experience? Are you flexible? (in a time sense!)

I am unavailable Mondays and Wednesdays and also have a toddler, so I will do my best to accomodate for your preferences around these commitments :)

Is there anything else you'd like me to know so I can make this experience feel just right for you?

I understand that yoga and wellness practices involve physical movement, breathwork, and periods of rest. I will listen to my body and move in a way that feels safe and supportive for me. If I have any medical conditions, injuries, or health concerns that could impact my participation, I confirm that I’ve sought guidance from a qualified healthcare professional first.

I acknowledge that the facilitator’s role is to guide and support the experience, not to diagnose, treat, or offer medical advice.

I'd like to be the first to know about new events, offerings, and little moments of magic at Namah-Stay?

Thank you for taking the time to fill out this form. This helps me to create an experience designed just for you!

After submitting this form, you'll receive an email with details to help you prepare for your session.

This is your time to pause & reconnect with your inner peace.

It's my honour to guide you.

Jem x

Where Nature Meets Nurture

Namah-Stay for Yoga

Where Nature Meets Nurture