Collaboration Request

Name *

First Name

Last Name

Objective *

What are you looking to achieve or accomplish through this event? Check all that apply.

General Well-being

Develop a Personal Practice

One-on-One Coaching

Group Bonding

Corporate Wellness

Education

Add-ons *

Check all that apply. Additional costs associated for each modality.

None

Acupuncture

Massage

Sound Healing

Hyperice Recovery Products

IV Drips

Other

Preferred Time Slots *

Check all that apply.

Weekday Before Work — 8-10AM

Weekday Mid-Day — 12-2PM

Weekday After Work — 6-9PM

Weekend Morning — 9-11AM

Weekend Afternoon — 2-4PM