Yoga Gives Back - For the cost of one yoga class, you can change a life.

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: