Chair Yoga Participation Waiver and Registration
Chair Yoga Registration
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Email *
Full Name *
Phone Number *
Address *
Date of Birth
I grant permission to Laura Noel to use photos of the student on website promotional materials *
How did you learn about the class? *
What are you hoping to gain from the class?   *

Payment Details:

  • Venmo (Laura-Noel-6)
  • Cash (in-person class only)
  • Check (made out to Laura Noel & sent to 687 Morningside Court, Zionsville, IN 46077)

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