Yoga Studio Registration

If you are a certified yoga studio, solo yoga instructor or mindfulness instructor and wish to offer classes for our #loveyourbrainNL campaign please fill out the form below.

If you have a work place or other group that would like to participate email us at nlbia2011@gmail.com to inquire about our instructors availability to come to you!

* denotes a required field

Studio Name: *
Class Name: *
Class Date/Time: *
Class Location: *
  Street address of the studio/class
Link to Additional Class Info:
  If more information is on your website please include the link here
% of Proceeds to be Donated: *
  Choose an amount between 60-100% of proceeds to be donated
Additional Comments:
   
Verification Image:
Verification Code: *