Baptiste Power Yoga Institute Workshop Registration Form

BAPTISTE POWER YOGA INSTITUTE
» CAMBRIDGE 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:	Cambridge Studio Workshops: Part 3 Workshop with Gregor, April 14 2007 Part 6 Workshop with Gregor, April 22 2007
Comments: please indicate additional details

If paying by Credit Card:
Credit Card Number:
Expiration Date:
PLEASE NOTE THAT ALL WORKSHOPS ARE NON-REFUNDABLE Your payment information will transfer over a secure connection.