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Registration

We are currently accepting registration for the Fall 2019-20 term. Please use the online form below to register your student. If you are interested in establishing an ExistKids after-school program at your school, please Contact Us for more information.

Select Your School: *

Don't see your school listed? If you are interested in bringing the ExistKids program to your school, please email us at contact@existyoga.com for more information.

Parent or Guardian Name *

Email *

Student Name *

Student's Age *

Student's Birthday *

Student's Grade *

ExistKids is a program for students in the 1st through 12th grade. We currently do not offer preschool or kindergarten programs.

Home Room Teacher's Name *

Does your student have any medical conditions or allergies? (Please describe below, including any food allergies) *

How will your student be dismissed? *

Emergency Contact Name *

Please provide the name of a secondary contact in case the Parent/Guardian can not be reached.

Emergency Contact Phone Number

Please provide the number of a secondary contact in case the Parent/Guardian can not be reached.

Do you give ExistKids permission to photograph your child for use in promotional materials? (Website, Social Media, Fliers)

Yes
No

The ExistKids program costs $100 for each term. We offer two payment methods. Please choose your preferred method below: *

One Payment: Pay Full-Amount the first week of yoga class
Two Payments: Pay $50 the first week and $50 the fifth week of yoga class

(You will receive a payment reminder the week before classes begin. You have the option to pay online or bring a check to the first class.)

Would you like to request a need based scholarship spot? *

Yes, please contact me about a full scholarship.
Yes, please contact me about a partial scholarship of (half the tuition or $50).
No, I am not requesting a scholarship for my student.

(ExistKids provides a minimum of one needs-based scholarship per class. By requesting a partial scholarship, you enable us to share scholarship funds with more students. We will contact you, prior to the first class, if your request is approved.)

How will a scholarship for the ExistKids yoga and mindfulness program help your family?

Would you be interested in enrolling in an extended term program (additional classes at the same time each week that will be held until the end of the school year, depending on the number of cold and snow days throughout the year)?

Yes
No

Are you interested in learning more about our Summer programs and other community events?

Yes, please add me to your general mailing list.
No, thank you.

Mailing List Subscription

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Contact

Exist Yoga & Bodywork
10999 Reed Hartman Hwy
Suite 220
Blue Ash, OH 45242
(513) 909-9129

Exist Yoga & Bodywork

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