Family & Kids Yoga

Parent Name *

First Name Last Name

Parent Name

First Name Last Name

Child Name *

First Name Last Name

Birth Date

Month Day Year

Child Name

First Name Last Name

Birth Date

Month Day Year

Child Name

First Name Last Name

Birth Date

Month Day Year

E-mail *

Phone Number *

Area Code Phone Number

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Number of Adults *

Number of Children Aged 6-15 *

Number of Children Aged 0-5 *

Classes are 10-week sessions. Please indicate which class you would like to attend. *

Fall Yoga for Kids - Wednesdays 4:00-5:00pm Winter Yoga for Kids - Wednesdays 4:00-5:00pm Spring Yoga for Kids - Wednesdays 4:00-5:00pm Private Yoga Sessions Family Yoga - Saturdays 11am-12pm Family Yoga - Saturday 12pm-1pm

Comments:

Creative Roots Refund Policy

Payment for programs which are cancelled by Creative Roots at any time will be refunded in full.

Although Creative Roots is unable to issue refunds, registrants who are not able to attend a program or who would prefer to register for another program at a later date, may be eligible to receive a credit towards Creative Roots programs.

Payment for Yoga Classes

Yoga Classes - 10 Sessions For Each Class

Yoga	Quantity	Price
Family Yoga		$ 250.00
Mother & Daughter Yoga		$ 180.00
Kids' Yoga		$ 150.00
Teen Girls Art & Yoga		$ 200.00
Private Session (One)		$ 60.00

Item subtotal: $ 0.00

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Total $ 0.00

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First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

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Family and Kids Yoga