REGISTRATION FORM — CLIP AND RETURN
Name ___________________________________________
Phone ___________________ Email _______________________________________
Check what you are registering for:
_____ Pranayama Workshop — Three sessions: Fri. 7-9:00 p.m., Sat. 10:30-1:15 p.m., Sat. 3-5:00 p.m. ($130)
_____ Chakra Workshop, Sunday, 11:30-1:45 ($45)
_____ Both workshops, ($160)
Amount enclosed (see cost below): $____________
Method of payent: _____ Visa _____ MC _____Check _____ Cash
Please make checks out to FULL CIRCLE YOGA.
Visa or MasterCard # _______________________________
Expiration date: ___________________________
Billing Address (including zip) _________________________________________________________
Signature: ________________________________________________________
*** I have read the policies below and agree to the terms _____ (please initial).
Return registration form with payment. Phone registration accepted with credit card payment (407-644-3288). Mailing address is : Full Circle Yoga, Larissa Carlson Weekend Workshop, 1521 Lyndale Boulevard,
Maitland, FL 32751.
POLICIES
* Full payment due upon registration.
* A cancellation fee of $25 will be deducted from the refund if a student cancels the Pranayama Workshop, or $10 for the Chakra workshop, or $30 for the full weekend.
* After Sunday, May 24, the cancellation fee for the Pranayama Workshop will go up to $35, for the Chakra workshop it goes up to $15, and for the full weekend it goes up to $40.
* After Tuesday, June 2, no refunds for any reason.
* There are no exceptions to the above policies.
* We will send an email confirmation upon receipt of your registration.
If you have any questions, please email (ashtangaguy@aol.com) or call (407-644-3288). Our website is www.fullcircleyoga.com.