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Class and Workshop Registration Form

Your name:  __________________________________________________________________________________________

Address:  ____________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

Telephone: ____________________________________________________________________________________________

Email:   _______________________________________________________________________________________________

Class or Workshop (day/time/level/instructor):__________________________________________________________________

____________________________________________________________________________________________________

Health concerns that the instructor should know about (continue on back):  ____________________________________________    

 ___________________________________________________________________________________________________

For workshops, please enclose $25 deposit, checks payable to The Yoga Center of Corvallis.

For regularly scheduled classes, please make checks payable to the instructor.

When registering for two or more classes per week, please make check payable

                to either instructor.

Amount Enclosed: ____________

Mailing Address: The Yoga Center of Corvallis, 111 NW Second St., Corvallis, OR 97330

You will not receive a confirmation.

We will contact you only if the class for which you are registering is full or canceled