Organization Intake Form

ORGANIZATION INTAKE FORM

Please take a few minutes to fill out the form, so that we can continue this amazing momentum!

* Indicates required field

Organization's Name *

Organization's Phone Number *

Organization's Website *

Organization's Address *

Line 1

Line 2

City

State

Zip Code

Country

Contact Person's Name *

First

Last

Contact Person's Cell Number *

Contact Person's Email *

Location of Classes, if Different than the Organization's Address *

Line 1

Line 2

City

State

Zip Code

Country

Is there anything the Teacher should know about parking in the area? *

Approximately how many participants do you anticipate attending class? *

Do you have any yoga mats or props available for participants to use? *

If United We Om is providing mats and props, do you have a safe place to store the mats and props? *

Is there anything United We Om or the Teacher should know about the participants or the facilities? *

Please upload a few pictures that we may use for publicity. *

Max file size: 20MB

Please provide a brief bio of the organization. *

You may also upload a brief bio if you prefer. *

Max file size: 20MB

Organization's Facebook Profile: *

Organization's Twitter Profile: *

Organization's Instagram Profile: *

Other Social Media Profiles: *

Briefly let us know why you believe yoga and meditation will benefit your community. *

NAMASTE