EMBODY LIFE WELLNESS
Psychotherapy
Individual Therapy
Group Therapy
INTUITIVE HEALING & 1:1 COACHING
MEDITATION & YOGA
1:1 MEDITATION INSTRUCTION
PUBLIC CLASS SCHEDULE
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Embody Life @ Be Well Yoga House Location
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EMBODY LIFE FALL PROGRAM - 2017
STUDENT INFORMATION
*
Indicates required field
Name
*
First
Last
Phone Number
*
Email
*
Student ID#
*
Preferred Method of Contact--this contact will be used to provide updates about scheduling, special events, reminders about assignments and more.
*
Phone
Email
Text
School Campus
*
Grade Level
*
9th
10th
11th
12th
Age
*
14
15
16
17
18
School Counselor
*
Please select your preferred Embody Life Program goals:
*
LEANDER ISD OFF CAMPUS P.E. CREDIT
EANES ISD OFF CAMPUS P.E. CREDIT
ROUND ROCK ISD OFF CAMPUS P.E. CREDIT
PRIVATE SCHOOL - OFF CAMPUS P.E. CREDIT
YOGA & MEDITATION TEACHER TRAINING & CERTIFICATION - 4 SEMESTERS OF PARTICIPATION REQUIRED FOR TEACHER TRAINING CERTIFICATION
OFF CAMPUS P.E. CREDIT + YOGA & MEDITATION TEACHER TRAINING & CERTIFICATION
PARENT OR GUARDIAN INFORMAITON
Name
*
First
Last
Phone Number
*
Email
*
Preferred Method of Contact:
*
Phone
Email
Text
EMERGENCY CONTACT
Name
*
First
Last
Phone Number
*
TEENS
Is there anything else you want us to know about you before we practice yoga together?
*
PARENTS
Is there anything else you want us to know about you or your teen student before the start of the school year?
*
PROGRAM TUITION
Select your preferred payment plan:
*
PAY FULL FALL SEMESTER TUITION - $150 (DEPOSIT) + $1550
PAY DEPOSIT OF $150 + $1550 BY AUGUST 28, 2017
PAY DEPOSIT: $150 + MONTHLY PAYMENT PLAN ($388/MONTH SEPTEMBER - DECEMBER)
Payment Method
*
Credit Card via Online Invoice
Check Payment
Checks can be made out to "Embody Life" or "Morgan Osmani" and mailed to 1906 West Koenig Lane, Austin, TX 78757
Submit
PLEASE NOTE SERIES PAYMENT IS DUE AT THE START OF THE SEMESTER.
ALTERNATIVE PAYMENT ARRANGEMENTS ARE AVAILABLE UPON REQUEST.
Psychotherapy
Individual Therapy
Group Therapy
INTUITIVE HEALING & 1:1 COACHING
MEDITATION & YOGA
1:1 MEDITATION INSTRUCTION
PUBLIC CLASS SCHEDULE
Retreats
About
Contact
Office Location
>
Embody Life @ Be Well Yoga House Location
Calendar
Resources
>
Blog