Register

Member Information
First Name
Last Name
Username*
E-mail*
Dental Practice Name
Dental Practice Website
Address Information
Main / Office Address
Address 2
City
State
Zip Code
Country
Main / Office Number
Please indicate your full profession name with degrees
I have a passion for Yoga because
My favorite Yoga pose is
We have joined the Yoga Dentistry Association to
Would you like to be listed in the public member directory? This will be launching soon and will provide a link back to your Dental Website. ________Yes or No________________
*Member Directory: Your name, website and yoga related questions would be listed as well.
Password*
Repeat Password*
Membership is $108 (Annually)
Membership - $108 / 1 Year
After clicking register button below, you will redirected to PayPal to make payment for subscription which is $108/year.
Select a Payment Method
Manual/OfflinePayPal
No payment methods are available for the selected subscription plan.

Subscribe to Our Newsletter

Learn

Experience

Membership

Address

Email Us
1600 Rosecrans Avenue
Media Center, 4th Floor
Manhattan Beach, CA 90266