Ambassador Profile Form
Thank you for your interest in becoming an Accessible Yoga Ambassador! You are joining a growing network of yogis committed to bringing Yoga to every body.

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Name
Your answer
Organization/Business Name
Your answer
Email
Your answer
Phone
Your answer
Address
Your answer
Website
Your answer
Facebook
Your answer
Instagram
Your answer
Twitter
Your answer
Are you a Yoga teacher?
What populations do you teach?
Your answer
If you are representing an organization, please tell us about the organization.
Your answer
Why do you want to become an Accessible Yoga Ambassador?
Your answer
Do you want to serve on a Team helping to support the Accessible Yoga Movement?
If yes, what type of work would you like to offer, and what skills do you have?
Your answer
Do you want to be listed in the public Accessible Yoga Directory? If you answer Yes, we will send you login information to create your own directory listing.
Do you want an Accessible Yoga Ambassador Meme?
A meme is a mini online poster that you can use for social media.
Photo Release
I grant Accessible Yoga, and it's representatives, the right to take photographs/video/recordings of me and my property and use any images that I provide. I authorize Accessible Yoga, its assignees and transferees, to copyright, use, and publish the same in print and/or electronically.
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