Please fill in the fields below to register. Print and mail it with your check made payable to Lake Norman Yoga to the address below. Please do not send cash. I will confirm your registration via email or by phone.
| Kelley Gardner |
| 9429 Magnolia Estates Drive |
| Cornelius, NC 28031 |
Please fill out one form per person registering. THANKS!
| First Name | |
| Last Name | |
| Street Address | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Today's Date | |
| Birth Date | |
| Home Phone | |
| Work Phone | |
| FAX | |
| Your email address will not be released to anyone. | |
| Class Pass Desired | you may pick only one value from the "drop down" selections. |
| Payment Method | My Address: Kelley Gardner 9429 Magnolia Estates Drive, Cornelius, NC 28031 |
| Student Commitment | Please read the following and sign
indicating your understanding and acceptance of our policies. Thank you
LNY, Inc. advises each class participant to check with his or her medical doctor before beginning any new exercise program. We support each student in working at his or her own comfort level. It is the student's responsibility to follow the advice of his/her doctor and to follow his/her body's wisdom in classes. I understand that it is my responsibility to monitor my own level of physical work in classes through LNY. I will let my instructor know prior to class if I have any conditions that need additional monitoring and I will let my instructor know immediately if I feel any discomfort or pain during a class. I hereby release the LNY, Inc. from any and all obligations that may arise as a result of my participating in a yoga class. I have read and understand the student commitment. Signed ______________________________________________________ Date_______________________ |
| Comment/Question |
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