Registrant:
Parent:
Address:
City/State/Zip:
e-Mail: Phone:
Day time phone of parent:
School: District:
Dept: Ages/Grade:
Yoga Experience if any:
Number of participants:
Course You're registering for: Mom and Me Yoga - 6 weeks (press control key to make multiple selections)
Workshops: please check with studio
In-service: $150.00 per hour