REGISTRATION
(return with payment)
NAME:_______________________________________
ADDRESS:____________________________________
_____________________________________________
Ph. (W)__________(H)__________(C): ____________
EMAIL:___________________________________
How did you hear about us?
_____Monday Yoga - 10:45 a.m. (*call to be put on reg. list)
_____Monday Yoga 6:30 p.m.
_____Wednesday Yoga 10:45 a.m.
_____Thursday Yoga – 6:30 p.m.
_____ Saturday Yoga/Pilates Fusion – 8:00 a.m.
_____ Saturday Yin Yoga – 9:30 a.m. (*call to be put on reg. list)
*classes will begin when the minimum participants are registered.
Make up Classes: During your paid session, you may make up any classes missed. Make up classes can be carried over into the next session ONLY IF YOU HAVE SIGNED UP AND PAID FOR THE FOLLOWING SESSION.
$75 for 8 weeks (one class per week)
10% DISCOUNT FOR 2 OR MORE CLASSES
Please bring mat, water bottle, towel or blanket.
As with any exercise program, please consult your physician before you begin. Please advise instructor of any limitations.
Signature__________________________________
Date:_______________
Emergency Contact:____________________________________________
To Register by:
Mail: Checks Payable To: Pat Vandermark, 60 Bitternut Lane,
Westerville, Ohio 43081
Phone: call: (614) 203-5372
E-Mail: Yoga4me@columbus.rr.com
Website: www.yogapilates4me.com
Download the registration form by clicking below:
| registration_form_oct_09.pdf |
©2011 YogaPilates4Me - All Rights Reserved
