Offering a Street Yoga Class at Your Site

We appreciate you taking the time to fill out this online form.

We are very intested in some key details of your program, and how and why you think a Street Yoga class would be beneficial.

We will get back to you as soon as possible.
Namaste.

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Contact
Organization Name:
Program Name:
Executive Director:
Contact Name: (if other than Exec Dir)
Contact Email
Mailing Address
Street:
City:
State / Zip:	/
Location Address (if different)
Street:
City:
State / Zip:	/
Specific Details
Do you have a space to hold yoga classes?	- Yes - No
Are you interested in curricula that includes art, nutrition, or wellness as well as yoga?	- Yes - No
Can you separate classes into male and female groups?	- Yes - No
Can your organization pay the partnership fee of $300 for a 6 week session (1 hr class per week)?	- Yes - No
Can your organization partner with Street Yoga in raising funds to cover this fee?	- Yes (if Yes, enter contact info below) - No
Name/Contact (Email or Phone)
Short Questions
What is the age range and gender of the people you serve?
Is your program day or residential? On average how long do people stay in your program?
How many students would participate in each yoga class?
What days/times do you hope to hold yoga classes?
Program Description Please include: a. Describe the population you serve. (Include racial, economic, and other demographic info.) b. What are the biggest challenges to the population you serve? c. What are the goals and objectives of your program? d. What are the qualifications of your staff members?
Program Description:
Add'l Comments:
Letter of Support We need a letter of support, signed by your executive director, in order to pursue funding for Street Yoga programs. In this letter please include: a. A short program description of your program. b. How do you think yoga will benefit your clients? c. What are your client's experiences with yoga? d. What experience have you or your clients had with Street Yoga? e. What kinds of things can your organization contribute to a partnership with Street Yoga? Please mail to Street Yoga: 883 SE Main St., Box 226 Portland, OR 97214 Thank you very much!!! Namaste.