Registration

Bliss Yoga

Home
About
Schedule
Yoga Classes
Registration
Yoga & Mindfulness At Schools
Mindfulness Meditation
Payment

Home
About
Schedule
Yoga Classes
Registration
Yoga & Mindfulness At Schools
Mindfulness Meditation
Payment

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YOUR CART

Integrating mind, body, and spirit to create a blissful you

To register for a yoga or mindfulness class or mindfulness 9 week workshop, fill out the required fields.
For Yoga at Schools please fill out ALL the fields. Your registration process will not be completed unless all information is provided.

BlissYogaCharlotte@gmail.com Facebook: BlissYogaCharlotte 980.236.1901

After we receive the registration, you will get an email to let you know if a spot is available. Please make the payment after you receive this email. Your spot will be reserved once the payment is received. Thank you!

* Indicates required field

Name( or Parent/Guardian name if registering for Yoga at Schools) *

First

Last

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Phone number *

Email *

What are you interested in registering for? *

Yoga for Adults- monthly membership Yoga for Teens(ages 12-17)- monthly membership Yoga for Kids(ages 7-11)- monthly membership Mindfulness Workshop for Adults 9 week session Mindfulness Workshop for Teens 9 week session Mindfulness walk-in sessions for Adults Mindfulness walk-in sessions for Teens Yoga for adult/teen/child walk-in Yoga at Schools( Elementary school) Yoga at Schools( Middle school)

The information below is required for individuals registering for Yoga at Schools only

Name of the child/children (first and last) *

Grade *

Parent/Guardian name 2 *

Parent/ Guardian 2 Phone Number *

List any allergies (include food allergies)- Do not leave this field blank. Put "none" if no allergies *

School *

Teacher *

Emergency contact name *

Emergency contact number *

Will your child be attending after-school care? *

Yes No

List any special needs, recent surgeries or physical limitations *

Name of people authorized to pick up your child other than parent/guardian. Your child will not be dismissed with any individual who is not on this list *

I agree to receiving marketing and promotional materials

Sign me up!

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