Summit Area YMCA Meditation Pajama Party

SUMMIT AREA YMCA

Meditation Pajama Party:

A Mindfulness Mini-Retreat for Deep Rest

You are invited to the most chill party ever! Enjoy an evening of deep rest with gentle movement, calming music and a guided mindfulness meditation to help you unwind and prepare for a restful evening of sleep. Wear your coziest pajamas. Onesies are highly encouraged. Be sure to bring a yoga mat, blanket, sleeping bag, pillow or anything else to help you get cozy. Warm tea/hot chocolate will be served afterwards.

Sunday, May 18th at 7:00 pm (Guests arrive at 6:45 pm, Event starts at 7:00 pm, Hot beverages at 8:00 pm)

BERKELEY HEIGHTS YMCA - 59 Locust Ave. Berkeley Heights

Please complete one registration form per person
Is the attendee 18 years of age or older?
PARTICIPANT INFORMATION
Guest Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit year
Email
example@example.com
Member Status
- Parent/Guardian Name
  
  First NameLast Name
- Relationship to Minor
- Date of Birth
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit year
- Phone Number
  ex. 555-555-5555Format: 000-000-0000.
- Parent/Guardian Email
  example@example.com
- Do you want to provide Emergency Contact information that is different from the Parent/Guardian information provided above?
- EMERGENCY CONTACT INFORMATION
- Name
  
  First NameLast Name
- Phone Number
  ex. 555-555-5555Format: 000-000-0000.
- Relationship to You
- Waiver and Release of Liability
- Code of Conduct
- Signature
- Use your mouse or finger to draw your signature.
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Should be Empty: