html Registration Form

 

REGISTRATION FORM – for insideoutyoga _ __ _ __ _ _ __ _ _ __ _ __ _ _ __ _ _ __

 

NAME _________________________ E-MAIL ____________________________________

ADDRESS __________________________________________________________________

___________________________________________________________________________

TELEPHONE __________________
AMOUNT ENCLOSED ______________

How did you hear about InsideOut Yoga?
____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

When is your birthday?_______________________

Please circle one:

Is it OK to contact you by phone? Yes/No

Is it OK to contact you by email? Yes/No

Is it OK to contact you by snail mail? Yes/No

***** For children’s classes only: I give my permission for my child

______________________________ to participate in yoga classes at

insideoutyoga.

Signature ______________________________ Date ___________

I AM REGISTERING FOR (Please list all classes/workshops for which you wish to register):

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

_____________________________________________________________________________

TO REGISTER: Please print out and complete the registration form. Mail the form
with your check made payable to Kim Trimmer (include $25 nonrefundable deposit for
each class and/or workshop you wish to attend OR payment in full) to the following
address:

insideout yoga

8016 Dayton Ave. N.

Seattle, WA 98103