REGISTRATION FORM  (Register early -- class space is limited!)

(Deadlines are: August 24th and August 25th!)

Name:  _______________________________________________________________

Address: ______________________________________________________________

City: ___________________________________ State: ___________   Zip: ____________

Phone: _____________________________ Cell: ______________________________

Email: ________________________________________________________________

Signature*: ____________________________________________________________

*Please note: All classes and workshops may be photographed, taped, or video recorded.  By signing your registration form, you agree to be photographed and accept that any such material may be used in the promotion of Yoga Johns.

I would like to register for the following:

_____ Intro to Purna Yoga Thursdays from 10-11:30am (September 8 - October 13)

Rates: $72.00 (6 classes for $12 each)

_____ Level 1 Purna Yoga Wednesdays from 5:30-7pm (September 7- October 26)

Rates: $96.00 (8 classes for $12 each) - $14.00 Drop-Ins

_____ Multi-Level PurnaYoga Thursdays from 5:30 - 7pm (September 8 - October 27)

Rates: $96.00 (8 classes for $12 each) - $14.00 Drop-Ins

_____ Meditation and Yoga Nidra TBA

Please see our online calendar for upcoming workshops.

Upcoming Workshops:

_____ Yoga Therapy Sessions -- Thursdays by appointment*

Rates: $55.00/hour - *Please call to reserve your appointment(s)!

Please print out Registration Form (by clicking the printer icon located at this top of the page) and mail your payment to:

Anna Williamson - Yoga Johns

16741 Old Maxton Rd. - Johns Station

Laurinburg, NC 28352

(910) 276-9345 • email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it • www.yogajohns.com