Class Registration
Registration Form
Please read pricing carefully under Class Fees.
Please this two page form and fill out one form for each class and for each person enrolling and send full payment with your registration form(s) to assure your place.
Checks should be made payable to The Yoga Place and sent to 444 Main Street, Suite 204, La Crosse, WI 54601. If you wish to drop off your registration when The Yoga Place is closed, please slip it under the door. We do not confirm registrations. We will contact you only if the class you request is full or cancelled.
Please Print Clearly
Name _________________________________________________________
Address ______________________________________________________
E-mail _______________________________________________________
(Please provide your e-mail address.It will be used to announce new material on our website including workshops and new class schedules. It will not be provided to third parties.)
Phone
Day _______________________________________________
Evening ___________________________________________
Day of class ____________ Time ________ Level _________
Class Fee for this Class $_____________
Discount (if applicable) $______________
Discount Reason ______________
(Maximum discount for any class for one person is $10.)
Amount Enclosed for this Class $______________
Check Number _______________
I have read and agree to abide by the refund policy of The Yoga Place (under Class Fees)
Signature _______________________________________
How did you hear about The Yoga Place?
__________________________________________________________________
(If by an ad, please tell us which ad.)