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Class Sign Up
Please fill out the form for the upcoming session. Your registration is complete when payment is received. E-transfer funds to lmacphail@gmail.com. Cash is also accepted.
Class takes place at 346 York Point Rd in Cornwall.
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Name
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Your answer
Email
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Choose your class:
*
Mind-Body Yoga - 6:30 pm Mondays, Sept. 22 - Nov. 3 (6 classes); $75
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Preferred Payment Option:
*
Cash
E-transfer to
lmacphail@gmail.com
Cheque
Please list any conditions that may affect your participation (i.e. Osteoporosis, vertigo, surgeries, etc.)
Your answer
Do you have any questions or comments, or care to share the goals you hope to achieve by taking the class(es)?
Your answer
Do you consent to be photographed for promotional purposes? Your privacy is important. If you do not wish to be photographed, your picture will not appear in BtB posts.
*
YES
NO
Only pictures that do not show my face (i.e pictures taken from behind, of feet/hands, etc.)
Waiver
By submitting this form, you agree to practice at your own risk and irrevocably release and waive any claims that you may have against Lenae MacPhail or the York Point Community Centre.
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