Disability Pride Benefit Class (Video Recording)

Name and Address

Email *

First Name *

Last Name *

Phone (Primary)

Street Address

City

State

Zip *

To help us better plan our services, we would like to know the area you live in.

Event Fee(s)

Event Fee(s) *

Class Fee - $ 20.00

Class Fee and $5 donation - $ 25.00

Class Fee and $30 donation - $ 50.00

Class Fee and $80 Donation - $ 100.00

Optional - Use the option below to adjust the amount. it will be added to the "event fee" option selected above.

Add Other Amount

Total

Piedmont Yoga Community - A 501(c)3 Non-Profit Organization
Email: info@piedmontyogacommunity.org