Mindful Movement Yoga Form

Mindful Movement Yoga

Thank you for your interest in our wellness programs! Please fill out this form to request a workshop and we will be in touch with you within 3 business days. Please remember that it is the responsibility of the requesting person to invite students to attend the program and ensure that the workshop needs are met. If you have any questions, please contact us at shs-hpp@bu.edu.

Name*
Phone Number*
Email*

Please provide your BU email address.
BU Affiliation

If you're a RA, please tell us your building and floor number.
Program Requested*
Date Preference
We will try our best to accommodate your preferred date, but kindly ask that you please provide 3 weeks advance notice.
MM slash DD slash YYYY
Time Preference

: Hours

Minutes

AM/PM

We will try our best to accomodate this time.
Program Format*
- In-Person
- Zoom
Location of Program*

Finding a suitable location is the responsibility of the person who requests the program.
Approximate Number of Attendees*
Programs are available for groups of 10 or more students.
Why are you interested in this program?*
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Mindful Movement Yoga