| 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 |