Services of Yoga Center Form

Practicing Rules and Methods
(just the cost of the activity including meal)

Name of the applicant:

Age of the applicant:

Date of birth of the applicant:

Gender

Female

Male

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Address

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Email Address

Home phone number:

Mobile phone number

How did you hear about us?

Contact address of person in case of emergency:

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Contact address of person in case of emergency:

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Contact number of person in case of emergency:

Yoga class type (check one):

Individual - $65.00

Group (numbers of participants 2 to unlimited) - $65.00 for each

Student - $45.00 (discounted)

Prior Yoga Experience:

Schedule: Every Tuesday 6:00 PM to 8:00 PM

Please arrive half hour early to complete the application process. You can
also fill out this form and mail with the payment prior to start the yoga class.
GEOKC mailing address is as follows:

Global Expansion of Krishna Community
727 5th Ave. S. # 204
Minneapolis, MN 55415

I agree with the terms and condition

Thank You!

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