YOGA Classes / Workshops / Yoga Day REGISTRATION FORM
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Name:____________________________________

Address:__________________________________

_________________________________________

City:______________State:_____Zip:___________

Tel.(day)__________________________________

Tel.(eve)__________________________________

I want to attend the following classes:

Day(s)&Time(s):_____________________________

Starting Date: _______________________________

Registration fees (due prior to starting a class):

Please refer to fees listed on our Schedule & Fees page at www.YogaAndMeditation.com.

All classes are subject to minimum enrollment.

In case a class is canceled by Ema (circle one):

a. I will use my payment to attend another class or workshop(s)
Date & time:____________________________ Title :_________________________________
Date & time:____________________________ Title :_________________________________

b. I will purchase Ema's yoga educational materials
c. I will get a full refund.

Please, make your check payable to Ema Stefanova, and mail both your check and the registration form to:

Ema Stefanova, P.O. Box 1033, Ann Arbor, MI 48106-1033

YogaRegForm.htm 8/31/2009