Enrichment Program Request Form

School or Organization Name:
Address:

Program Requested:

Itsy Bitsy Yogi (ages 3-7) Preschool Kindergarten Grade 1 Grade 2 Grade 3	Tweeny Yogini (ages 8-12) Grade 4 Grade 5 Grade 6 Grade 7	The Teen Yogi (ages 13-17) Grade 8 Grade 9 Grade 10 Grade 11 Grade 12

Customized:

Average Number of Students per Class:

Requested Class Length:

30 Minutes 45 Minutes 60 Minutes Customized

Preferred Program Dates and Times:

Room Description: (Including size, restrictions or possible limitations for group yoga instruction)

Detailed Requirements or Requests:
At Glow Yoga we can personalize any class to fit your theme, or unit. Please include any special requests for your classes, or other requirements your school or organization may have in regards to bringing in contracted business.

Other Details:
Please list other specifics such as parking, preferred entrances, etc.

Main Contact Information:
Name:
Position:
Phone:
Email Address:

Once you are finished, hit save, and send your request via email to info@glowyogakids.com. We will review your request and contact you within 5 business days to confirm your booking. If you have any other questions or concerns, please call or email!

Glow Yoga Kids | Edmonton, Alberta | 780-905-9532 | info@glowyogakids.com