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Event registration-Yoga
Event Timing: Mondays and Wednesdays 6:00-7:00pm
Event Address: 304 E. Third Street, Alton, IL 62002
Contact us at
programs@ywcaswil.org
or 618 465 7774
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Name
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Phone Number
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Your Date of Birth
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Emergency Contact Information: Name
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Emergency Contact Information: Telephone Number
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What days will you attend?
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Monday
Wednesday
Monday and Wednesday
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For sliding scale fees, demographic purposes, and grant reporting, please enter your annual household income
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Household size
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For demographic purposes and grant reporting, please identify your race/ethnicity.
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Other:
For demographic purposes and grant reporting, please check any forms of Public Assistance that your household receives.
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TANF (Temporary Assistance to Needy Families)
WIC (Supplemental Nutrition for Women Infants & Children)
SSI (Supplemental Security Income)
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Classes are $10 drop in. Sliding scale fees are available based on your annual household income. You may pay by cash or check the day of the class, or set up a monthly ACH withdrawal. I understand that I will have to pay upon arrival.
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I understand that I will have to sign a liability waiver and release before the first class.
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