yoga with sj | gem workshops ∙ request form Thank you for your interest in gem workshops! Workshops take place at your community site and can form to your group’s needs, so when requesting a session, please share as much information as possible – thank you! OK Question Title * 1. When would you like your "yoga with sj" or "gem workshop"? Date & Time (Choice 1) Date Time AM/PM - AM PM Date & Time (Choice 2) Date Time AM/PM - AM PM OK Question Title * 2. Are you requesting a yoga class? Yes No Please describe any special considerations (chair yoga, prenatal, no yoga mats) OK Question Title * 3. If you're requesting a gem workshop, what topics and activities are you looking for? OK Question Title * 4. Describe your group attending the yoga | gem workshop How many people are in your group? What are the age ranges of your group? (55+, grade school, teens, etc.) Any special considerations: OK Question Title * 5. How did you hear about "yoga with sj" and "gem workshops"? OK Question Title * 6. Optional: Please share more about your group to support my workshop preparation More about your organization/group Your goal for your group's yoga | gem workshop OK Question Title * 7. Address Name Company Address Address 2 City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Country Email Address Phone Number OK SUBMIT RESPONSE >>