Class Registration Form

Class Registration Form

Fill out the form carefully for registration
Student Name

First NameLast NameStudent #
Birth Date

MonthDayYear
Gender
Address

Street Address

City

Postal / Zip CodePostal Code

Country
Student E-mail
example@example.com
Phone Number
Class
Attendance
Additional Comments
Select your Payment
Fee: $239 plus tax =$250.95
Price Includes student resources site fee portal.

E-transfer: aromansse@gmail.com
Send Cheque at 359 Home Street, Winnipeg, MB, R3G 1X5
Cash at the physical store or at Meditation Studio
Credit Card: You will receive a link. 3% fee added.

Tuition is not refundable.
Signature

Clear
Should be Empty: