Ambassador Profile Form
Thank you for your interest in becoming an Accessible Yoga Ambassador!

Accessible Yoga is dedicated to sharing the benefits of Yoga with anyone who currently does not have access to these practices, and with communities that have been excluded or underserved. All people, regardless of ability or background, deserve equal access to the ancient teachings of Yoga, which offer individual empowerment and spiritual awakening. By building a strong network and advocating for a diverse Yoga culture that is inclusive and welcoming, we are sharing Yoga with all.


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Last Name *
First Name *
Spiritual Name
Email *
By submitting the Ambassador Profile Form, you authorize Accessible Yoga to add your email address to our Email Roster. You also authorize us to send you emails such as our Newsletter and other updates. Type email address below.
Phone *
Please add country code if outside the United States
Address *
Additional Address
City *
State *
Zipcode *
Country *
Organization/Business Name
Website
Facebook
Instagram
Twitter
Are you a Yoga teacher? *
What populations do you teach? *
If you are representing an organization, please tell us about the organization.
Why do you want to become an Accessible Yoga Ambassador?
By agreeing to become an Accessible Yoga Ambassador, you agree to commit to one "Action Item" per year, such as hosting a karma class, creating a social media campaign, become a AY Member, etc. Ideas and Resources for Action Item's can be found in a shared Google Folder (link will be sent with welcome letter). Ambassadors will follow an honor system to complete their annual Action Item. To agree to these terms, please click "I Agree" below. *
Do you want to serve on a Team helping to support the Accessible Yoga Movement?
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If yes, what type of work would you like to offer, and what skills do you have?
Accessible Yoga Ambassador Memes are being reworked. We will let you know when a new plan is in place. If you are interested in a meme and would like more information, please check yes.
A meme is a mini online poster that you can use for social media.
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Photo Release
I grant Accessible Yoga, and it's representatives, the right to take photographs/video/recordings of me and my property and use any images that I provide. I authorize Accessible Yoga, its assignees and transferees, to copyright, use, and publish the same in print and/or electronically.
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