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 cookashleighr@gmail.com. Payment information will be emailed to you after completing this form.
Student Name *
Your answer
Student Grade
Guardian Name
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Guardian Email Address
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Guardian Phone Number
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Emergency Contact Name
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Emergency Contact Phone Number
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Does the participant have any dietary restrictions or food allergies?
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What is something the participant would like to learn about or explore in yoga class?
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For past participants: What is something you enjoyed about our class in the fall?
Your answer
For past participants: What did you disliked or would change about yoga class?
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