Apply for Pro-Bono Session Name * First Name Last Name Email * Organization Name * (###) ### #### Organization Website * (###) ### #### Phone * (###) ### #### How did you hear about Three Jewels? * Word of Mouth Instagram Google Yelp Other What type of service are you looking for? * Please check all that apply. Yoga Meditation Other If you chose 'other' please explain: (###) ### #### Describe to us your clientele: * Please be as specific as possible about any special needs or accomodations (###) ### #### Anything else you'd like us to know? (###) ### #### Are you able to pay for this session? * Please check all that apply. Yes Yes, but only a portion No, I require full pro bono service Thank you!