Online Yoga Class Registration Form
Find Your Balance, Inside and Out
Name
First Name
Last Name
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Gender
Male
Female
Date of Birth
-
Month
-
Day
Year
Date
Schedule Preference
Evening Session - 7:30PM to 8:30PM
Class Level
Level 1 - Beginner Class
Level 2 - Intermediate Class
Level 3 - Advanced Class
All Level Class
Session Packages
prev
next
( X )
Unlimited Monthly
$200.00
$
200.00
for each
month
10 Sessions
$170.00
$
170.00
for each
month
6 Sessions
$100.00
$
100.00
for each
month
1 Sessions
$20.00
$
20.00
for each
month
Submit
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