OUTREACH APPLICATION

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Organization Name

Primary Contact Name

Email

Organization Mission

Additional Info or Message:

Phone

Can we text you?

Address where yoga will take place

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Primary Age of Sudents

Children

Adult

Seniors

What type of outreach are you looking for?

What is your purpose for yoga?

Is there a specific background check required for teachers?

Yes

No

Do you have funding for the classes?

Yes

No

Do you have...

Yoga Mats

Blocks

Straps

What days & times are you interested in?

Are you interested in weekly, monthly, or limited series of classes?

Fort Wayne, IN

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