2019 UFAM Rally Yoga on the Lawn Registration
Register an individual or group to participate in an instructor led yoga session(s) on the lawn of the State Capital in Lansing on Friday, May 17th, 2019 at the Unite To Face Addiction Michigan Rally.
Email address *
Organization Affiliation
Your answer
First Name (as seen on Drivers License) *
Your answer
Last Name (as seen on Drivers License) *
Your answer
Please select one option. *
If you are signing up a group, approximately how many people will attend the yoga session(s)?
Your answer
Please select the session(s) you would like to attend.
Date of Birth *
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
State *
Zip *
Your answer
I assume full responsibility for any injury that maybe sustained by me, or loss or damage to property owned by me, while participating in the yoga activity with Unite To Face Addiction Michigan and their affiliate instructors. *
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Unite To Face Addiction Michigan. Report Abuse - Terms of Service