Contact Us

Use the form to the right to tell us about you or ask us questions.  We'll try and respond promptly.  Thank you for getting in touch.

4910 Normal Boulevard, Suite D
Lincoln, NE 68506
USA

(402) 853-2396

Into Balance is a community for helping people find peace and confidence in a frantic world using mindfulness principles, meditation, movement, and professional counseling. 

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Yoga

Professional Yoga instruction at Into Balance

We wish Heather all the best as she continues her journey as a Yoga Teacher in other settings, though we will miss her presence here at Into Balance. So, for the time being, we have no new classes on the schedule and we are in search of one or more teachers who would like to bring their practice to the Into Balance wellbeing community. If you or someone you know is interested, please select the envelope icon in the upper right of this page and message Drew.



Yoga Class Registration Form

Name *
Name
Phone *
Phone
List dates and times of classes you are registering for here (separate multiple classes with commas). You can find the list of classes at www.intobalance.us/calendar:
Waiver/Release Required *

Yoga Waiver & Release Form

Name of Participant *
Name of Participant
Date of Birth of Participant *
Date of Birth of Participant
Address of Participant *
Address of Participant
Phone of Participant *
Phone of Participant
Emergency Contact Name *
Emergency Contact Name
Legal guardian if participant is under age 19
Emergency Contact Phone *
Emergency Contact Phone
Acknowledgment of Risk *
Intention to Minimize Risk *
Responsibility for Risk *
Limitations of Yoga *
Affirmation of Health & Fitness *
Agency & Choice *
Waiver & Release *
Acceptance of Electronic Signature *
You may request a paper waiver and release form if you prefer this to the electronic form and electronic signature.
Person Completing This Form *
Person Completing This Form
Minors may not fill out this form. It may only be completed by an adult participant (19 or older), or in the case of a participant under age 19, by the legal guardian of the participant.