Student Registration Form
Fill out the form carefully for registration
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Our group classes are offered every 3rd Sunday of the month. 4pm-6pm. 1-on-1 classes can be scheduled Tuesday- Saturday 11am-6pm .
Student Name
First Name
Middle Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
E-mail
example@example.com
Mobile Number
Phone Number
Work Number
Company
Courses
Please Select
Yoniversity Group Class
Yoniversity One on one
Additional Comments
Payment
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1-on-1 Yoniversity
Hands on in person class.
$
699.00
With equipment 1-on-1
One yoni pot and burner
$
950.00
Weekend course
Two day course!
$
1,250.00
Credit Card
Submit Application
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