Registration – Exist Yoga & Bodywork

We are currently accepting registration for the Winter 2019 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 bring the ExistKids program to your school, please email us at contact@existyoga.com for more information.

Parent or Guardian Name *

Student Name *

Student's Age *

Student's Grade *

ExistKids is a program for K-12 students. We currently do not offer preschool programs. If you would like to establish a preschool program at your school, please contact us for more information.

Home Room Teacher's Name *

Does your student have any medical conditions or allergies? (Please describe below)

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)

ExistKids 10-Week After-School Programs cost $100 for the 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 first week of class. You have the option to pay online or bring a check to class.

Multiple Choice *

Yes, please contact me about availability.
No, I am not requesting a scholarship for my student.

ExistKids provides a minimum of one need based scholarship per class. We will contact you if the request is approved prior to the first class.

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