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Yoga & Pilates Fitness, October 8, 2024 (Pocahontas)
Please complete this form to begin your registration. 

Registration is only complete once payment of $55.00 is received in full.  Payments must be made in person or by credit card.  Payments cannot be made online.  

Payments by credit card may be submitted by phone at 870-248-4180 or 870-913-9611. 

Registration deadline is Monday, October 7, 2024

Class dates are:  Tuesdays, October 8 - November 12, 2024.

Email *
First Name *
Middle Name *
Last Name *
Mailing Address  
(Example: 1234 Test Way)
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Mailing Address 
(Example: Pocahontas, AR 72455)
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Date of Birth *
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Sex: *
Phone Number (Ex: (555-555-5555) *
Email Address *
How did you hear about this class? *
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