Wellness Wednesday Registration

2022 - 2023 Wellness Wednesday Registration
Participant Information
Last Name *
First Name *
Age *
Grade *
Email address *
If you would like a reminder of the workshop sent via text message list your cell # here:
I would like to register myself/my child for the following Wellness Wednesday Programs:*

Kids Yoga & Mindfulness (Littles 5-8) - 5/3/23 - CLASS FULL, WAITLIST ONLY
I would like to register Child#2 for a Wellness Wednesday Program

Yes
Last Name
First Name
Age
Grade
Email address
I would like to register myself/my child for the following Wellness Wednesday Programs:

Kids Yoga & Mindfulness (Littles 5-8) - 5/3/23 - CLASS FULL, WAITLIST ONLY
I would like to register Child#3 for a Wellness Wednesday Program

Yes
Last Name
First Name
Age
Grade
Email address
I would like to register myself/my child for the following Wellness Wednesday Programs:

Kids Yoga & Mindfulness (Littles 5-8) - 5/3/23 - CLASS FULL, WAITLIST ONLY
I would like to register Child#4 for a Wellness Wednesday Program

Yes
Last Name
First Name
Age
Grade
Email address
I would like to register myself/my child for the following Wellness Wednesday Programs:

Kids Yoga & Mindfulness (Littles 5-8) - 5/3/23 - CLASS FULL, WAITLIST ONLY
Parent/Caregiver Information (Not Necessary for Teens)
Name
Address 1
Address 2
City
State
Zip
Email Address
Should be Empty:

2022 - 2023 Wellness Wednesday Registration