Core Connections:
A Pilates-Yoga Immersion for Modern Living

2025 Registration Form

We would like to get to know you a little better. There are no prerequisites other than a willingness to learn and grow. However, we will be practicing yoga, Pilates and meditation so it will be helpful if you have taken yoga or Pilates classes before. You may participate in this immersion in person or online.

Please complete the online form below, and click Submit. Then, return to this page to submit your $100 deposit by clicking Pay Deposit below, calling the Yoga Center of Columbia at 410-720-4340, or mailing your check to the Yoga Center of Columbia, 8950 Route 108, Columbia, MD 21045.

Payment in full (or arrangement for other payment options offered by the Yoga Center) is due by September 20, 2025. Contact us if you wish to discuss payment options.

Name

First Name

Last Name

I prefer to be called

My preferred pronouns

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Mobile Phone

(###)

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Home Phone

(###)

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Occupation

Describe what interests you in yoga, Pilates, meditation?

Have you read any books about yoga, Pilates, meditation or habits? If so, please list them.

Have you taken any yoga or Pilates workshops/trainings? If so, please name them.

Do you have certifications in these or related disciplines? Please list or explain.

Are you currently teaching yoga or any other wellness subject? Please explain.

Do you have a current yoga practice? If so, please describe.

What reading, relevant to yoga, has been important to you?

Are you currently teaching yoga, Pilates, meditation or any other subject? Please explain.

Do you have experience, including teaching experience, in related disciplines?

How long have you practiced yoga or Pilates, or are you a novice?

Do you have a teacher you study with regularly? If so, please name them

Do you do your yoga or Pilates practice or class standing, seated and lying on the floor? Are you seated on a chair or in a wheelchair? Or is there another manner in which you practice?

Why do you wish to participate in our Core Connections program? What do you hope to learn?

Is there anything else you want to share?

Refund policy

Full refunds (minus the non-refundable deposit of $100) will be granted until September 20, 2025. After September 20, refunds will be considered on a case by case basis. By submitting the application and paying the deposit, you indicate that you are committed to the program and that you understand these terms.

Core Connections: A Pilates-Yoga Immersion for Modern Living

2025 Registration Form

Core Connections:
A Pilates-Yoga Immersion for Modern Living