EmailMe Form - Yoga for Survivors Workshop

Please note that payment has been disabled on this form.
You may notify the owner and continue to submit the form.

Name *
First Last
Email *
Phone *
### - ### - ####
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
How did you hear about this workshop? *
STAR Website
STAR Email
STAR Social Media
Co-worker/Friend
Other
Do you have any accessibility needs we should consider? If so, please describe.
Cancellation Policy
You may cancel your registration up to 24 hours in advance and be granted a full refund. If you cancel after this time, you will not be given a refund.
*
Please check here to agree to the terms of this cancellation policy.
Payment
Registration fee is $10. You will be transferred to a payment page. If you have limited income and would like to request that your fee be waived, please contact us at (225) 615-7093 or email brooke.allen@star.ngo.

Only those who have submitted payment will be considered registered for this event.
Please select one: *
General ($10)