Elite Recovery Intensive Application

First & Last Name*

Cell Phone Number *

Email Address *

Are you a current client?*

Yes

What is your main goal for the 2hr intensive?*

Therapeutic Deep Work Alignment?*

I want to focus on therapeutic results.

I am only looking for the most extreme pressure.

When I am getting bodywork done, I see my therapist as:*

A trained professional that specializes in facilitating my own natural healing process.

A service provider that I am paying for their time & physical labor.

I acknowledge the $300 minimum for this service. *

Check the box if true