Mat Request Application

Thanks for submitting a mat request with us! Important: before you click "submit" please save a copy of your completed form as a pdf file and email it to mats@yogaactivist.org. Please note: that it takes approximately 14 days to process your application and that we appreciate your patience.

    Contact Information (Individual Requesting Mats)

    This is a required question
    This is a required question
    This is a required question

    Organization Served

    If no specific organization is served, please enter information for organization providing yoga classes.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Program Information

    We'd love to know a little bit more about your program! Please be as detailed as possible in your responses below.
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Yoga Teacher(s) Information

    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Mats!

    This is a required question
    This is a required question
    This is a required question
    This is a required question

    Contract Agreement

    If Mat Donation Request is accepted: - Three photos of the mats in use during the first three months of the program to help promote the good work of your program as well as Yoga Activist’s Mat Donation Program will be sent via email to info@yogaactivist.org - Quarterly program “check-ins” including completion of a quarterly class report form to keep Yoga Activist engaged in your program’s progress; teacher and/or student feature questionnaires so that Yoga Activist can highlight excellence in the field of yoga outreach
    This is a required question
    This is a required question
    This is a required question

    Terms of Shipping Agreement

    - I understand that if my mats must be shipped to me, I will be asked for a donation to cover the shipping expenses. - I also understand that if or when my program comes to an end, I will notify Yoga Activist and arrangements will be made to return the mats or place them with a local group – whichever Yoga Activist so chooses.
    This is a required question