Registration Form for Rushing Water Yoga

Name _____________________________________(please print)

Address____________________________________

City/State/Zip_______________________________

Home Phone_____________________

Work Phone_____________________

Email_____________________________________________

Class (level, day, time)

________________________________________________________

 

Enclosed is …p  a $25.00 nonrefundable deposit or p  payment in full

Please send to:   417 N.E. Birch St., Camas, WA 98607    

360.834.5994        www.rushingwateryoga.com

We will call you only if the class you are registering for is full.