| Name: | _____________________________________ |
| Address: | _____________________________________ |
| City/State/Zip: | _____________________________________ |
| Home Phone: | _____________________________________ |
| Cell or Work Phone: | _____________________________________ |
| Email Address: | _____________________________________ |
Classes you are signing up for:
| Class Name/Level | Day | Time | Fee |
| Class Fee Subtotal: | $ | ||
| New to Harmony Yoga? Take $10 off your registration fee. | |||
| More than 1 class/week? Subtract $20 from your total fees. | |||
| High school or full-time college student? Subtract 25% from your total fees. | |||
| GRAND TOTAL: | $ | ||