Registration
Buy 3 Months of UNLIMITED Yoga and Barre classes for the price of 2! Savings of $55! Pass expires 3 months from the date of purchase . However, if you currently hold a monthly membership or just started your Holiday gift of my Free Month Special- this offer will start at the completion of your current monthly membership. Please ignore the item date as a one day event. This package is for 3 months of yoga/barre but due to a software glitch it must be listed as such.
Event:
Start Date/Time: End Date/Time:
Fee per Family: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone:* Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info
(Not Contact #1 or #2)*
 
 
 
Additional Information:
 
 
Other Questions/Comments:
 
Credit Card Verification:
   
Card Number: *  
Name as it appears on card: *
Nickname:
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*