Hold it for Hospice Registration Form

Hold it for Hospice Registration

If you are a yoga studio and wish to support Hold it for Hospice please complete the form below.
My yoga studio details
Yoga Studio Name
Full Name*

PrefixFirst NameLast Name
Position
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
Website
Facebook page
Yes, our yoga studio would like to host a Hold it for Hospice session.

We will donate full or part proceeds from one or more our yoga sessions.We will ask our yogis to show support by making a folded note donation.Please list our studio as 'open to the public' and list our studio on the website as a host.
The date/s we will host our Hold it for Hospice session/s will be:
How many appreciation gifts will you require? We will provide a gift for each yogi who participates.
Should be Empty:

Hold it for Hospice Registration