Jenny Otto

Registration Form

Name ___________________________________________________________

Address ________________________________________________________

City ______________________________ State ______ Zip ___________

Telephone: Day ____________________ Evening ____________________

Email __________________________________________________________

Amount Enclosed: __________ Check # _________ (payable to Family Yoga)

Full payment due upon registration

_________________________________________________________________________________________

Friday - Saturday Workshop, September 29 - 30

Workshop Price: ($150 - After Sept. 1 - $175) _______  

Individual Sessions:

Friday Morning (9:30 - 12:30 $60) ______ Afternoon (1:30 - 4:30 $60) _______

Saturday Morning (9:00 - 12:00 $60) ______

Print, Return to studio or mail Registration with payment to:

Family Yoga, PO Box 534, Summerfield, NC 27358

limited enrollment for Workshop, pre-registration required. Participants attending the full workshop will have priority over space availability. No refunds after September 5th, unless you can arrange a replacement student.