Private Yoga Instruction Booking Private Yoga Instruction Booking Thanks for your interest in private individual or group yoga sessions! Please submit the completed form and Danielle will contact you shortly to schedule your upcoming session. Name* First Last Email* Enter Email Confirm Email Phone*Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country If visiting Maui, where on the island are you staying?Please list name of condo or hotel if applicable. How did you hear about us?* Please describe your yoga experience as well as any injuries or special requests for your practice.*Do you need yoga mats for your class?* Yes No 1.25 Hour Private Individual and Group Classes for up to 4 students.* Single Session ($95/class) Two Sessions ($95/class) 3 Class Series ($90/class) 5 Class Series ($85/class) 10 Class Series ($80/class) Total number of students participating in the private yoga session. (The private class price includes up to 4 students. Each additional student who joins the class is $18 per person per class.)* 1 Student 2 Students 3 Students 4 Students 5 Students 6 Students 7 Students 8 Students Total number of students participating in the private yoga session. (The private class price includes up to 4 students. Each additional student who joins the class is $18 per person per class.)* 1 Student 2 Students 3 Students 4 Students 5 Students 6 Students 7 Students 8 Students Total number of students participating in the private yoga session. (The private class price includes up to 4 students. Each additional student who joins the class is $18 per person per class.)* 1 Student 2 Students 3 Students 4 Students 5 Students 6 Students 7 Students 8 Students Total number of students participating in the private yoga session. (The private class price includes up to 4 students. Each additional student who joins the class is $18 per person per class.)* 1 Student 2 Students 3 Students 4 Students 5 Students 6 Students 7 Students 8 Students Total number of students participating in the private yoga session. (The private class price includes up to 4 students. Each additional student who joins the class is $18 per person per class.)* 1 Student 2 Students 3 Students 4 Students 5 Students 6 Students 7 Students 8 Students Island Location for Travel Fee*I am happy to come to your residence or accommodation for your private yoga session(s), and I do charge a travel fee depending on location. To accurately price your sessions, please indicate where on the island you are located. South Side (Kihei, Wailea, Makena, Maalaea) West Side (Lahaina, Kaanapali, Olowalu, Launiupoko, Napili, Kapalua) North Shore (Paia, Kuau, Spreckelsville, Haiku) Central Valley (Kahului, Wailuku, Waikapu, Waihee) Upcountry (Makawao, Kula, Pukalani, Haliimaile) Island Location for Travel Fee*I am happy to come to your residence or accommodation for your private yoga session(s), and I do charge a travel fee depending on location. To accurately price your sessions, please indicate where on the island you are located. South Side - $50/day (Kihei, Wailea, Makena, Maalaea) West Side - $100/day (Lahaina, Kaanapali, Olowalu, Launiupoko, Napili, Kapalua) North Shore - $25/day (Paia, Kuau, Spreckelsville, Haiku) Central Valley - $25/day (Kahului, Wailuku, Waikapu, Waihee) Upcountry - no charge (Makawao, Kula, Pukalani, Haliimaile) Island Location for Travel Fee*I am happy to come to your residence or accommodation for your private yoga session(s), and I do charge a travel fee depending on location. To accurately price your sessions, please indicate where on the island you are located. South Side - $50/day (Kihei, Wailea, Makena, Maalaea) West Side - $100/day (Lahaina, Kaanapali, Olowalu, Launiupoko, Napili, Kapalua) North Shore - $25/day (Paia, Kuau, Spreckelsville, Haiku) Central Valley - $25/day (Kahului, Wailuku, Waikapu, Waihee) Upcountry - no charge (Makawao, Kula, Pukalani, Haliimaile) Island Location for Travel Fee*I am happy to come to your residence or accommodation for your private yoga session(s), and I do charge a travel fee depending on location. To accurately price your sessions, please indicate where on the island you are located. South Side - $50/day (Kihei, Wailea, Makena, Maalaea) West Side - $100/day (Lahaina, Kaanapali, Olowalu, Launiupoko, Napili, Kapalua) North Shore - $25/day (Paia, Kuau, Spreckelsville, Haiku) Central Valley - $25/day (Kahului, Wailuku, Waikapu, Waihee) Upcountry - no charge (Makawao, Kula, Pukalani, Haliimaile) Island Location for Travel Fee*I am happy to come to your residence or accommodation for your private yoga session(s), and I do charge a travel fee depending on location. To accurately price your sessions, please indicate where on the island you are located. South Side - $50/day (Kihei, Wailea, Makena, Maalaea) West Side - $100/day (Lahaina, Kaanapali, Olowalu, Launiupoko, Napili, Kapalua) North Shore - $25/day (Paia, Kuau, Spreckelsville, Haiku) Central Valley - $25/day (Kahului, Wailuku, Waikapu, Waihee) Upcountry - no charge (Makawao, Kula, Pukalani, Haliimaile) What dates, days of the week, and/or times of day work best for you?* Total Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20212022202320242025202620272028202920302031203220332034203520362037203820392040 Expiration Date Security Code Cardholder Name
