REGISTRATION FORM
5th ANNUAL CINCINNATI YOGA DAY AUGUST 23, 2026
SUBMIT NAME
(Business, Organization or Individual)
Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Age
0-18
19-29
30-59
60+
Gender
Male
Female
Other
Ethnicity/Race
Black/Brown/Melanated
White/Caucasian/European
Asian
Mixed Race
Hispanic
Other
Household
Single
Married
Single w/ children
Married w/ children
Income
Below 60,000
61,000-100,000
100,001-249,000
250,000+
My Products
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( X )
Tank
$35.00
$
35.00
CYD 2026 Anniversary Tank
Quantity
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Size
S
M
L
XL
XXL
CYD 2026 water Bottle
$15.00
$
15.00
Anniversary Water Bottle! 16oz
CYD Towel
$3.00
$
3.00
CYD 2026 cooling towel
Quantity
1
2
3
4
5
6
7
8
9
10
CYD Anniversary keychain
$2.00
$
2.00
Donation
$10.00
$
10.00
Donate any amouny $10-$100 (1=$10, 2=$15, 10=$100, etc Increments of $5) Your donation allows us to provide FREE Yoga mats and waters to attendees!
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Enter coupon
Apply
Total
$0.00
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
ACH Bank Transfer
Submit
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