Workshop Registration Form for Credit Card Payment
First Name: *
Last Name: *
Email: *
Phone Number: *
Select a Workshop:*
Saturday, June 28th, 1:00-2:30pm, Nia Workshop
Saturday, June 28th, 2:45-4:00pm, Nia Class
Saturday, June 14th, 1:00-3:00pm, Anusara Yoga
Comments:
After you have submitted this registration form you will be directed to payment information. All payments are secure using PayPal.