Yoga for Empowerment-Spring 2018
Thank you for your interest in Yoga for Empowerment! If you have not participated in this enrichment before, please complete this form in entirety. If you have any questions, please reach out to Ashleigh Cook at
. Payment information will be emailed to you after completing this form.
Guardian Email Address
Guardian Phone Number
Emergency Contact Name
Emergency Contact Phone Number
Does the participant have any dietary restrictions or food allergies?
What is something the participant would like to learn about or explore in yoga class?
For past participants: What is something you enjoyed about our class in the fall?
For past participants: What did you disliked or would change about yoga class?
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