BAPTISTE POWER YOGA INSTITUTE
» BROOKLINE STUDIO «
WORKSHOPS REGISTRATION FORM

If you are registering for a workshop within 48 hours of the session, please call the studio to sign up. If you sign up online, you may not get a spot.



Your Name:
Street
Address:

City:
State:
Zipcode:
Country:
E-Mail:
Daytime Phone:
Where did you hear about our program?


Participant name:
Age:
Yoga Experience: 0 to less than 1 year 1 year 1-3 years 3+ years
Injuries/Illnesses:
(If applicable)
Participant 2:
Age:
Yoga Experience: 0 to less than 1 year 1 year 1-3 years 3+ years
Injuries/Illnesses:
Participant 3:
Age:
Yoga Experience: 0 to less than 1 year 1 year 1-3 years 3+ years
Injuries/Illnesses:

Choose a workshop:
Brookline Studio Workshops:

Practicing Your Pretzels Workshop, April 28 2007



If paying by Credit Card (Mastercard, Visa, American Express accepted) :
Credit Card Number:
Expiration Date:
PLEASE NOTE THAT ALL WORKSHOPS ARE NON-REFUNDABLE

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