Yoga Registration - January 2018
This registration is for a 45 minute yoga class lasting 10 weeks beginning in January 9th, 2018. The cost is $120 per session. Payment is best by email transfer or paypal, or contact us for other methods. The address where the classes take place is 98 Aurora, Pointe-Claire, QC.
Name *
Your answer
Waiver *
I confirm that I have no serious health impediment or other issue that would interfere with the class and I will not hold FortePiano or its employees liable for any injury or damage arising from such impediments.
Required
Birthday
MM
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DD
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YYYY
Medicare number
Your answer
Telephone number
Your answer
Preferred email
Your answer
Emergency contact
Your answer
Any other comments, health conditions or concerns, or anything else we should know about.
Your answer
I hereby confirm that I am registering for yoga classes and that I will adhere to FortePiano rules and policies *
Terms: the fee for classes is non-refundable once classes commence. Registration is not complete unless payment has been received by email or other means.
Required
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