Super Simple Survey
 

Thank you for participating in Yoga Salutes Nonviolence! We look forward to your joining us in 108 Sun Salutations to benefit our local nonviolence programs.

The form below constitutes your online Registration Form. When you fill it out and submit it, all the information will be sent to YSNV, and you will automatically be given an opportunity to make an additional contribution to the program of your choice. Although we welcome all donations, since you are a "Participant," in most cases you will simply exit the Paypal page.

You will also need a sign-up sheet for your sponsors. For this you can download "pledgesheet2011.pdf" from the "Forms" page of this website.

We are all affected by violence. If not personally, there is someone that we know, work with, or pass in our everyday life who is being abused. If you would like to recognize an individual who has been affected by violence, there is a place to list their name(s) below. (First names or your relationship to that individual only please.)

Finally, if all of this online stuff makes you nervous, feel free to download "registrationform2011.pdf" from the Forms Page of the website. You can fill it out and send it in to the included address via snailmail.

Again, Yoga Salutes Nonviolence is grateful -- as a "Participant" you are the essence of what makes YSNV work to support domestic nonviolence every year!

________________________________________________________________________

Participant Name:


Address:


Phone:


Email:


Free T-Shirt:
- Male
- Female

T-Shirt Size:
- S
- M
- L
- XL

Domestic Violence Program Selected:
- Howard (DVC)
- Baltimore (House of Ruth)
- Montgomery (Abused Persons Program)

I am dedicating my participation to:


I will be participating at the:
- Yoga Center of Columbia location
- Yoga Center of Columbia location (Gentle Yoga)
- Willow Street location

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