YOGA EDUCATION SOCIETY (Y.E.S.) Serving Yoga Teachers and Students in San Diego

Membership Application

Please fill out form and return with your payment. Make your check payable to Y.E.S., or mail to the following address: P. O. Box 2044, La Mesa, CA 91943. Individual Membership Studio Student (teacher-in-training) Referred by: _______________________________________________________________________________________ BASIC MEMBERSHIP: Annual Dues — New or Renewal: $25. Please enclose or attach your check. Please check the Membership you are applying for AND answer all of the sub-questions.

TEACHERS: Number of years teaching yoga ____________

Do you earn your living teaching yoga? Yes No

SUBBING: Yes, sign me up for the Substitute Registry No thank you

STUDIOS: Number of Years in business: ___________ Type of yoga offered: ____________________________

STUDENT: Training program: ___________________________________________________________________

Y.E.S. SUPPORTER PRACTITIONER NAME: to be listed in the directory; your name or studio name (unless student teacher-in-training)

__________________________________________________________________________________________________

BILLING ADDRESS (for our accounting records) ADDRESS TO BE PUBLISHED (if other than your billing address)

Phone Numbers: Check the box next to the phone number(s) you would like PUBLISHED

Home Business Fax

( ) ( ) ( )

Email: Website:

To reinstate you will have to reapply.

I have read and understand the requirements. Signed:_________________________________________ Date:______________________________________