CLASS REGISTRATION

Please note that this form may only be used to register for the following class locations:

Alameda : Alameda Yoga Station
Berkeley : Crowden Center
Berkeley : Julia Morgan, Yoga Room
Berkeley : Live Oak Center
Lafayette : Lamorinda Music
Lafayette : Rhythm Room Dance
Montclair : St. John's Montclair
Oakland : Glenview Performing Arts Center
Oakland : Lake Merritt United Methodist Church
Rockridge : Danspace

To register for other locations, please check the schedule and call the appropriate number.

Fees:

$195		Ten week session, first child
$115		sibling in same class (under 6 months free)
		Fees include 2 CDs, song book, Parent Education Guide, and makeup class

To register using this form, please fill out the applicable information fields. In particular, make sure you make both a first and a second choice of class times. If you indicate "Waitlist OK" for your first choice and you are in fact on the waiting list, we will contact you to let you know your position in the list and how likely we think it is that you will get in to that class. If your email has spam blocking, please put on your "safe list" so that our email will get through to you.

Once you have filled out the form, you can either

press the "Submit" button, then pay online or mail us a check for the fees
or print out this form, and mail it to us with your check

PLEASE NOTE that your registration will not be processed until we receive your payment!

Fields shown in red are required.
Your Name:
Street Address:
City:
ZIP:
Phone:
Urgent Phone:		(Best phone number to reach you in case of class cancellation or other last-minute info)
Other Phone:		Type: (work, cell, etc)
Email:
Contact Preference:

Child's Name:		Birthdate:
Child's Name:		Birthdate:
Child's Name:		Birthdate:
	Will you be bringing a sibling under 6 months? Yes No

Class 1st choice:
Waitlist OK?	Yes No
Class 2nd choice:

Who will usually bring children to class:
Other info: (special needs or anything else you want to tell us)

Payment Method:	Online (PayPal) Check