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MindfulMarch Sign Up Form
Deadline to register your class(es) has been extended into March.

This form is to register to host a donation-based class during MindfulMarch only. If you are looking to host a donation-based class at another point in the year, please visit www.loveyourbrain.com/host-a-class

I hosted a MindfulMarch donation-based class last year (March 2016).
(If yes) I raised this amount through my donation-based class:
Your answer
During March 2017, I want to offer:
Contact Info
Primary Contact Person
First and Last Name
Your answer
Primary Contact Email
Your answer
Primary Contact Phone
XXX-XXX-XXXX
Your answer
Studio Info
Yoga Studio Name (or facility, gym, etc.)
Your answer
Yoga Studio/Facility Website
For class listing purposes. All MindfulMarch classes will be listed on the LoveYourBrain website but we will only include your studio's name, location and a link to your studio's class signup page. Please make sure to update your website with MindfulMarch class information. Thanks!
Your answer
Social Media Info
Please provide your social media handles
Your answer
Address 1 (studio address)
Your answer
Address 2
Your answer
City
Your answer
State/Province (no abbreviations please! write out in full i.e. Vermont)
Your answer
Zip/Postal Code
Your answer
Country
Your answer
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