Registration

Personal Information

Phone Number(s)*

CLASS PAYMENT INFORMATION

$125.00 Non-Refundable Deposit required to reserve your spot in class. ($130 debit/credit)

Cash or Check payable to Yoga Janda Inc. To pay by credit card use link at bottom of the page.

Total Cost of Class + Materials = $365.00 (cash/check) $375.00 (debit credit)

**After the 1st class there will be no refunds.

QUESTIONS AND INFORMATION

All information is strictly confidential. If you are uncomfortable answering any questions, please leave them blank.

I understand that the information given in each class is of great importance to decisions we may be making concerning the health of mother and baby. Attending every class is ideal. If one of you can’t attend, I encourage one of you to attend on your own or bring a substitute coach.