Organization Intake Form

We are grateful for the opportunity to share Yoga and Meditation with your community!

* Indicates required field

Organization Name *

Tell us about the community this project will serve (ex. special needs, substance abuse recovery, etc) *

Do you have any special requests for a specific language speaking teacher *

How many practitioners do you expect to be in class (ex. 5-8 students) *

Are yoga mats needed? If so, approximately how many mats? *

Organization Contact Name *

First

Last

Contact Email *

Best Contact Number *

Location of Organization (legal address) *

Line 1

Line 2

City

State

Zip Code

Country

Best Contact on Site (if different than contact person above - example, House Manager, etc) *

First

Last

Best On-Site Contact Number (if different than above) *

Best on-site email (if different than above) *

Please provide your organizations Mission Statement as you would like it displayed on our Webpage for your Project *

Please provide the link you would like to have attached to your Mission Statement on the Webpage for your Project *

Does your organization have any protocols in place regarding COVID-19 requirements ( vaccination, booster, and or mask requirements for teacher) *

Please provide all tags requested for Social Media promotion (example: hashtags, profile names) *

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