2019-2020 Registration

Name *
Your answer
Spiritual Name (if different)
Your answer
Your email address *
Your answer
Primary phone number *
Number you prefer to be contacted on, including country code if not US.
Your answer
Please check if the above number is a mobile phone.
Secondary phone number
Alternate phone if available
Your answer
City *
Your answer
State or Province *
If not applicable in your country, enter "none".
Your answer
Country *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Skype name
If you use Skype, please tell us your Skype contact name
Your answer
Which section would you prefer? *
Please click one button in each row to indicate your choice order; DO NOT click any section that won't work for you.
Thursdays 19-21 CET (1-3 pm Eastern US)
Thursdays, 7-9 p.m. Eastern US
Mondays 7-9 pm Eastern US
1st choice
2nd choice
3rd choice
Which section[s] are not possible for you to participate in?
Please click the boxes for sections that won't work for your schedule. You can click one or more.
How did you hear about the course? *
Required
Where I saw the flyer / Who referred me / Which email newsletter
If you saw our flyer, please tell us where. If the course was recommended to you by a yoga teacher or previous participant. please tell us who that was. If you saw the course in an email newsletter, please say which one.
Your answer
Anything else you'd like to share with us?
Your answer
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