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Yoga Gives Back Event Confirmation Form

Thanks for your generous support, time and understanding!

Yoga Gives Back is a 501c3 non profit organization, and donations are tax deductable in USA.

Please fill out this form at least 1 month before your event date.

Event Date:
Start Time:
End Time:
Event Format:Single Class
Multi-Teachers
Kirtan
Other
Event Location:Studio
Park
Other
Studio/Venue Name:
Studio/Venue Owners Name:
Studio/Venue Website:
Street Address:
City:
State:
Zipcode:
Studio/Venue Phone Number:
Event Contact Persons Name:
Event Contact Persons Phone Number:
Event Contact Persons Email:
Number of Teachers Involved:One teacher
Two or more
Teacher's Name:
Email:
Teacher's Name:
Email:
Event charge per person:$
Donation Choice
Donations collected to YGB Proceeds:%
All less cost
Any costs to be reimbursed:Teachers TimeYes No
If Yes, amount
Studio SpaceYes No
If Yes, amount
Other:
Donations will be sent to YGB:Cash
Check
Paypal
Form filled out by:
Agreed to by Studio Owner or signed on their behalf:
Agreed to by Teacher(s) or signed on their behalf:
Date: