Registration Form/Winter 2012

Name ___________________________________________________ Phone ___________________

Address____________________________________________ City __________________________

Postal Code________________________  Email Address __________________________________

Day & Time of Class(es) _____________________________________________ Cost ___________

For Early Bird discount of $5.00, registration and full payment due by January 7, 2012

Please make cheque payable to Yoga Moves with your registration.
Mail to: Yoga Moves, #120 - 1000 Roosevelt Crescent, North Vancouver, BC  V7P 3R4
Phone: (604) 986-3811. Web: www.yogamoves.ca   Email: