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Tier 2

Name / Pronouns *

Preferred method of communication *

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Email address *

Phone number

Do you have any concerns with the following?

Getting on to and up from the ground

Spending time on hands and/or knees

Balance

Other:

Any questions, clarifications, or things you'd like to share in regards to yoga practices?

Do you have any interest / need for a virtual option in part or for all of the series?

What payment option feels accessible for you?

You can choose a price between these options by selecting 'other'.

Sustainer - $375

Community Supported - $300

Community Supporter - $450

Full or Partial Scholarship

Other:

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Are you interested in a payment plan?

(50% due Feb 27th - 50% due March 26th)

yes

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Preferred method of payment?

venmo

paypal

square payment link to use card (processing fee included)

cash

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If you feel called to share a little about yourself or your interest in this workshop please feel free to do so here:)

Or any questions? Otherwise?

Would you like to be added to the Empowered Spaces email list to receive newsletters?

Sure!

No thanks :)

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