Teacher Intake Form - Dirty South Yoga Fest

Your full name (as you would like it to be displayed on the website):*

Main contact email:*

Available Class Times*

Please check all class times that are available for us to schedule your class.

Class Name:

Class Description:

Class Level:

Class Pace:

If you selected other, please tell us how you would describe the class pace:

Teacher Instagram Handle (if applicable):

Teacher Bio (please also send photo to dirtysouthyoga@gmail.com):

Mailing Address (for payment):*

Please list all the studios/gyms you teach at:

Let us know about other great instructors you recommend in New Orleans:

Event Day Contact Number (cell phone):*

Additional Comments: