Registration form for All Hearts Hatha Yoga tm

Name

Address (include town & ZIP, please)



Phones (in case I need to notify you, short notice, about class cancellation, etc, any # where I can reach you)
Day                                      Evening                                    Cell



Email address

Check number #

Check Amount

Enter the class you are registering for:

day,

time,

location

Any health concerns that will affect your participation in yoga:


Due date if registering for Prenatal yoga:

I have read and understand the policies/requests (please initial)

Thank you.