Pearls For Life Yoga Registration Form-Teens Winter 2023
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Email *
Teen's Name (First & Last)
Adult's Name (First & Last) *
Teen's Birthdate (Month, Day, Year)
Email *
Address (House number, Street, City, Zip) *
Phone number (xxx)xxx-xxxx *
Emergency Contact Name, Relation and Phone Number *
Class you are registering for: *
Required
Yoga Experience
What type of exercise do you do?
 Any injuries? (if yes, please explain)
Payment Information
$240 for 12 weeks (Classes run Wednesday 1/11-3/29)

Payment due on first day of class
Cash, Check or Venmo
Thank you!
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