Prema Shanti Yoga Registration Form

Name:___________________________________________________________

Address:________________________________________________________

Phone: ______________________ email address:_____________________                                    

Indicate your purchase(s) – Specify dates and time for each series (No sharing)

 Class Series: _______Restorative Yoga                            _______Prenatal Yoga

                         _______ Yogalates/Postnatal                       ________ Level 2

                        _______Advanced Beginner                         ________ Level 2/3

                      ______ Beginner/Gentle Yoga                        _______Open/Mixed level yoga

                    _______ Private Yoga                                          _______ Kids Yoga

                  ________ Wake Up with Yoga                    _________  Active/Restorative

                  __________Unlimited Class Card (Register for classes attending)              

                                         Other:____________________________________________________________________

Workshop Name:  _ _____________________________________

  There are no refunds on the purchase of any class series, missed classes, workshops, and private/thai yoga sessions. Only two(2) makeups will be allowed per class series when notified in advance of intention to miss a class.   No shows will not be allowed makeup.   Makeups must be scheduled in advance.  No Dropin Makeups.  There are no extensions all missed classes must be made up by the end of scheduled series.  Pre-registration is complete when payment is received in full. Prema Shanti Yoga cannot be responsible for providing additional make-ups or issuing any credit for classes missed as a result of scheduling conflicts, vacations, illness, emergencies, or other circumstances beyond our control.

  Make check payable to Prema shanti yoga and attach to this form and mail to:

Prema Shanti Yoga

157 Fisher Avenue   Eastchester, N.Y 10709

 If this is a gift certificate purchase please indicate below the certificate bearer’s name etc.

Prenatal Yoga students must provide a letter from an ob/gyn or midwife clearing you for attendance to the series you are registering.

Refer to Studio Payment/Charge and Class Attendance Policy available at studio and website before making your purchase.

Signature: ___________________________ Date: ____________

We also accept payments by Visa/MasterCard credit or debit cards.  Call to pay by phone.

 Membership Coupon Benefits:

-Bring a Friend to a class for Free

- Recieve 10% off when registering for a Workshop

-Receive 10% off when registering for any Private or Thai Yoga session.

Thank You