Yoga Class Registration Form

Yoga Class Registration Form

To stay in the creative flow, we all know it’s worth slowing down. To truly feel our life force and strengthen our presence, we need to get out of our heads and back into our bodies.
Date - 08/27/2025
Time - 5:30 PM - 6:45 PM

Instructor: Christine Palamidessi,

E-RYT 500, Certified Fishman Yoga Therapisti
Participant Information
Name

First NameLast Name
Age
Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Yoga Level:

BeginnerIntermediateAdvanced
Do you have any injures or body limitation:

YesNo
If yes, write here or add any other information relevant to this experience:
How do you learn about this online art class?

FacebookE-BlastInstagramYouTubeSearch EngineWord of MouthInstructorOther
Do you have any concerns, information to share or questions?
Please bring water bottle, a yoga mat or blanket (floor is concrete), blocks and belt or whatever you need. Do you need anything please indicate here:

I need a mattressI need blocksI need a blanket
Concent:

I agree with all of the above and I have been open and honest about my health
Payment & Confirmation
Signature of Participant

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Date Signed

MonthDayYear
Date
Class Selection:
prevnext( X )
Wednesday, June 25, 5:30 - 6:45pm
$35.00 Quantity



Wednesday, July 23, 5:30 - 6:45pm
$35.00 Quantity



Wednesday, August 27, 5:30 - 6:45pm
$35.00 Quantity



Total

$0.00
THANK YOU

We are looking forward to welcoming you into our programs.

If you have any questions, please email or call us using the details below:

Claudia Fiks
Claudia@newartcenter.com
M. 774.551.6824
Payment Methods

Choose from one of the PayPal options to make your payment.
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Yoga Class Registration Form

Participant Information

Payment & Confirmation