Online Yoga Class Registration Form
Name
First Name
Last Name
Email
example@example.com
Phone Number
Gender
Male
Female
Date
-
Month
-
Day
Year
Date
Date of Birth
-
Month
-
Day
Year
Date
Schedule Preference
Morning Session - 9:00AM to 11:00AM
Morning Session - 11:00AM to 1:00PM
Afternoon Session - 5:30PM to 7:30PM
Evening Session - 7:30PM to 9:30PM
Class Level
Level 1 - Beginner Class
Level 2 - Intermediate Class
Level 3 - Advanced Class
All Level Class
Session Packages
prev
next
( X )
Unlimited Monthly
$
150.00
for each
month
10 Sessions
$
90.00
for each
month
6 Sessions
$
50.00
for each
month
3 Sessions
$
30.00
for each
month
Date
-
Month
-
Day
Year
Date
Submit
Should be Empty: