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Pearls For Life Yoga Registration Form
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Email
*
Your email
Name (First & Last)
*
Your answer
Child's Name (First & Last)
Your answer
Birthdate (Month, Day, Year)
Your answer
Email
*
Your answer
Address (House number, Street, City, Zip)
*
Your answer
Phone number (xxx)xxx-xxxx
*
Your answer
Emergency Contact Name, Relation and Phone Number
*
Your answer
Class you are registering for:
*
3:30pm Tuesday Toddler Storytime Yoga (Ladera Ranch)
4:30pm Tuesday Teen Mindfulness Yoga (Ladera Ranch)
Required
Yoga Experience
No Experience
Beginner (0-6months)
Intermediate (6mo-2years)
Advanced (3+years)
What type of exercise do you do?
Your answer
Any injuries? (if yes, please explain)
Your answer
Payment Information
Pricing: $225 for 10 weeks
Payment Options:
will be provided upon confirmation of classes,
one week before start date
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